Rules & Regulations of the State of Tennessee
Title 0780 - Commerce and Insurance
Subtitle 0780-01 - Insurance Division
Chapter 0780-01-79 - Uniform Reporting System for the All Payer Claims Database
Section 0780-01-79-.05 - SUBMISSION SCHEDULE
Current through September 24, 2024
(1) Health insurance issuers shall report historical health care claims data according to the following schedule:
| Time Span | Submission Due Date |
| January 1-31, 2009 | June 1,2010 |
| February 1 - June 30, 2009 | July 1, 2010 |
| July 1, 2009 - September 30, 2010 | November 1, 2010 |
(2) Once each health insurance issuer has completed submitting historical health care claims data, it shall submit health care claims data monthly. Submissions are due on the first day of the month for health care claims data covering the time span of the month preceding the prior month, or according to the following schedule:
| Time Span | Submission Due Date |
| October | December 1 |
| November | January 1 |
| December | February 1 |
| January | March 1 |
| February | April 1 |
| March | May 1 |
| April | June 1 |
| May | July 1 |
| June | August 1 |
| July | September 1 |
| August | October 1 |
| September | November 1 |
(3) The commissioner, in the commissioner's discretion, may allow some health insurance issuers to submit data on a quarterly basis.
(4) Group health plans shall be exempt from the data reporting requirements of T.C.A. § 56-2125 and this rule to the extent that they do not use heath insurance issuers to administer health benefits. However, such group health plans may submit data in accordance with this rule.
Authority: 2009 Public Acts, Chapter 611, T.C.A. §§ 56-2-125 and 56-2-301.
