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Tennessee prompt pay law dental

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Under Tenn. Code Ann. §56-7-109, the Tennessee payment deadline is 30 calendar days (clean claims). The statute is described by the Department of Commerce and Insurance as carrying interest penalties and remediation requirements, and a related section (§56-7-1023(e)) refers to "the interest penalties and remediation requirements" under §56-7-109 — but the operative subsection could not be read on an official host, so this page states no rate. Dental applicability: The Attorney General quotes the definition: a "health insurance entity" is an entity subject to Tennessee insurance law or the commissioner's jurisdiction that contracts or offers to contract to provide health insurance coverage, "including, but not limited to, an insurance company, a health maintenance organization and a nonprofit hospital and medical service corporation" — an illustrative, not exclusive, list. A self-funded private-employer (ERISA) plan is generally beyond this statute's reach and runs on the federal claims-procedure clock instead — but that comes from the courts reading 29 U.S.C. § 1144, not from its text, and it is not categorical: a self-funded governmental or church plan is not an ERISA plan at all, § 1144(b)(6) leaves multiple employer welfare arrangements open to state insurance law, and nothing in § 1144 bars a state from reaching the third-party administrator or the network contract.

Last verified
2026-08-30
Reviewer
None — owner-published

Dentovio is an independent publisher, not a law firm, insurance department, or government agency. This page was drafted with AI assistance and read against the primary sources linked here, with a per-claim verification record — quote, statutory pinpoint, and the URL actually opened — behind every deadline, rate, and applicability verdict in all fifty-one jurisdictions. It has not been reviewed by a credentialed attorney or dental billing specialist. These pages summarize state prompt-pay statutes as read against the official sources on the date shown, focusing on how each statute treats dental claims. Statutes change and their application turns on plan type, contract status, and claim facts. Educational reference only — not legal advice; confirm current law with the state insurance department or a licensed attorney before acting on a specific claim.

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Query patterns

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Source citations

  • PROMPTPAY-TENNESSEE-1 Tenn. Code Ann. §56-7-109 — Tennessee Code Unannotated, the state's designated free public access host (terms gate) (advance.lexis.com)
  • PROMPTPAY-TENNESSEE-2 TDCI Bulletin — prompt pay provisions and the ACA grace period (April 2014) (tn.gov)
  • PROMPTPAY-TENNESSEE-3 Tennessee Attorney General Opinion 09-157 (2009) — health insurance entity and coverage definitions (tn.gov)

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