Relevant Contact Points in Tennessee

The Tennessee Health Facilities Commission's complaint intake unit takes complaints about health care facilities and is staffed by medically trained personnel.

Advocates for residents of nursing homes, assisted-care living facilities, homes for the aged, and adult care homes.

Tennessee's federally certified criminal Medicaid Fraud Control Unit, which investigates and prosecutes Medicaid and TennCare provider fraud and patient abuse, neglect, and financial exploitation in nursing homes, board-and-care facilities, and other Medicaid-service settings, and refers substantiated cases to the Department of Health's Abuse Registry.

Serves as the lead intake point for a consumer's unfair-or-deceptive medical-billing complaint under the Tennessee Consumer Protection Act.

Runs an informal mediation process, with the business given 21 days to respond, through which a consumer can file a billing or debt-collection dispute against a business, including a medical provider or debt collector, for the Division to route.

Licenses and regulates third-party debt collectors, including medical-debt collectors, under Tenn. Code Ann. § 62-20-101 et seq. Its complaint process gives the licensee fifteen to twenty days to respond in writing; the Board can discipline a licensee but cannot itself order a refund to the consumer.

Serves as the intake point for a balance-billing or surprise-bill complaint against an insurer and, per Bulletin 22-01, as a referral point for provider-side No Surprises Act billing complaints.

The Insurance Division's contact directory covers Consumer Insurance Services, Pharmacy Benefits Managers, and Policy Analysis.

Provides counseling intake, operated by the Tennessee Commission on Aging and Disability.

Provides a dedicated channel for pharmacies and other covered entities to file PBM-specific complaints with the Insurance Division.

Contact information for the Tennessee Board of Medical Examiners, part of the Tennessee Department of Health's Division of Health Related Boards.

Contact information for the Tennessee Board of Osteopathic Examination, part of the Tennessee Department of Health's Division of Health Related Boards.

Licenses and certifies nursing homes and other health care facilities and runs the Abuse Registry.

Advocates statewide through nine District Long-Term Care Ombudsman programs.