Insurance 

TMA's advocacy team works on behalf of members to address systemic insurance issues and help physicians navigate the increasingly complex and cumbersome necessity of doing business with health plans. From network contracting to reimbursement to insurance-related rules and regulations, TMA constantly monitors the payer landscape and works to ensure fair business practices for Tennessee’s doctors and their patients. It's not just about getting claims paid; it's about holding insurance companies accountable, and facilitating relationships between physicians and carriers. 

Advocacy Issues

TMA is an advocate for physicians on a number of insurance-related issues.

Upcoming Insurance Events

  • 38th Annual Insurance WorkshopsImprove your compliance and reimbursement strategies!

  • TMA Fall Webinar Series"The Best of: 2018 Summer Roadshow" details coming soon!

Contact Us

Share your experiences and alert TMA to issues with insurance companies.

Karen Baird, CPC, CPMA

Director of Insurance Affairs
615.460.1651
karen.baird@tnmed.org
legal@tnmed.org

Insurance Resources


Insurance Law Guide
Find TMA Guides on Cancer Insurance, Credentialing of Physicians for Commercial Insurance Plans, Tiering by Insurance Plans and more in the TMA Law Guide Directory. (Member Login Required)
Explore Law Guide Directory 

ERISA Physician Toolkit 
TMA’s new Employment Retirement Income Security Act Toolkit is full of samples for filing appeals, claims and complaints. 
ERISA Toolkit

Guide to BCBS Professional Agreement
The resource gives members an executive summary of the provisions of the Agreement, an analysis of some terms, and discussion of potential pitfalls in this or any managed care contract.
BCBS Professional Agreement 

Medical Audit Toolkit
This toolkit provides practical information and tips to guide physicians in anticipating medical audits, responding to auditor's requests for medical records, and appealing erroneous audit findings.
CBS Professional Agreement 

Annual Wellness Visit Resources
These physician and patient-specific guides explain how third parties are interfering with Medicare Annual Wellness Visits and next steps if this happens to your patients.