Advanced Practice: Reimbursement – Private Insurance

Private Insurance Reimbursement

Tennessee Code Annoated (adds registered nurses to the category of other health care professionals who are eligible for reimbursement under contracts, plans or policies of insurance)

56-7-2407. Nurse midwife services.

(a)  Whenever any contract, plan, or policy of insurance issued in this state provides for reimbursement of any service which is within the lawful  scope of practice of a nurse midwife, duly licensed by the Tennessee board of nursing as a registered nurse and also duly certified as a nurse midwife by the  American college of nurse midwives, the insured or other person entitled to benefits under such contract, plan, or policy shall be entitled to reimbursement  for such services, whether such services are performed by a duly licensed physician or by a duly licensed and certified nurse midwife.
(b)  Reimbursements shall be made in a timely manner. 
(c)  The provisions of this section relating to nurse midwife  services shall apply to all contracts, plans, or policies issued or renewed on or after July 1, 1994. 

[Acts 1994, ch. 945, õ 1.]

56-7-2408. Reimbursement for services  by nurse in advanced practice.

(a)  Whenever any contract, plan, or policy of insurance issued in this state provides for reimbursement of any service which is within the lawful  scope of practice of a nurse in advanced practice, the insured or other person  entitled to benefits under such contract, plan, or policy shall be entitled to  reimbursement for such services, whether such services are performed by a duly licensed physician or a duly licensed nurse in advanced practice. For purposes of this section, “nurse in advanced practice” means a registered nurse who is  duly licensed by the Tennessee board of nursing and who is also a nationally  certified nurse practitioner, a nationally certified registered nurse  anesthetist, or a nationally certified clinical specialist. 
(b)  Reimbursements shall be made in a timely manner. 
(c)  The provisions of this section relating to the services of a  nurse in advanced practice apply to all contracts, plans, or policies issued or renewed on or after July 1, 1996.

[Acts 1996, ch. 627, õ 1.]

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