State Of Tennesse

TENNESSEE DEPARTMENT OF LABOR & WORKFORCE DEVELOPMENT WORKERS' COMPENSATION DIVISION
220 French Landing Drive
Nashville, TN 37243-1002

 

 

MEDICAL FEE SCHEDULE DATA CALL PROJECT

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Click here to go to the login and registration page.

On January 1, 2006, Tennessee’s Medical Fee Schedule became mandatory.  In order to analyze the effectiveness of the Medical Fee Schedule in reducing costs, the division must begin collecting medical data. 


The Medical Fee Schedule Data Call Project is the requirement to collect the medical data needed for the analysis of the fee schedule.  This requirement is authorized by the Tennessee Workers Compensation Act and will provide the ability to generate and evaluate reports on a quarterly basis.


The data call project will allow Insurance Carriers, Self Insured Employers and other entities contracted to provide the information to upload medical claim information into an application server for processing.  This will reduce paper submissions and the time and cost to process data.

 
The data file can be extracted from your system and uploaded to the division's website.  The data will reside on a server that is housed within a private network that is not accessible by the public-at-large. 


Taking into consideration the HIPPA laws and regulations, it is necessary to have the appropriate login screens for the users to be sure that the information accepted is authentic.

 

The criteria to report using this application are:

  • Have Internet Explorer 5.0 or higher or Netscape Navigator 6.0 or higher.
  • Your browser must have cookies enabled. Note: In both Internet Explorer and Netscape, cookies are enabled by default.
  • Your browser must support 128-bit SSL Encryption.
  • Your browser must have Javascript enabled. Note: In both Internet Explorer and Netscape, Javascript is enabled by default.
  • You must complete the Registration Process in order to receive a log-in Identification and Password.

To upload medical claim information as XML files into the application server for processing:

  1. Create your data file in XML format.
  2. Log-in with your log-in ID and password.
  3. Follow the upload process.
  4. Receive a message page “Medical Fee Schedule Upload Process was Successful”.
  5. Print the “Successful Upload” page for your records.