TENNESSEE BILLING FACTS · NURSE CASE MANAGERS SUPPORTED TODAY

Tennessee workers’ comp case management billing —
after 2014, and Next Step.

Tennessee’s post-2014 system carries no vocational rehabilitation entitlement; the state runs a Next Step program instead. Nurse case management is the live market here, billed to the carriers and TPAs under the Bureau’s e-billing rules at 0800-02-26.

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Tennessee Bureau of Workers' Compensation

The facts, before the pitch.

How billing works in Tennessee

Who you bill: The carrier or TPA.
What you send: CMS-1500 or invoice.
The channel: Direct.
Fee basis: No published rate we have verified. Ask the Tennessee Bureau of Workers' Compensation before anyone quotes you one — including us.
The clock: Not a deadline we have verified for Tennessee. Ask the Tennessee Bureau of Workers' Compensation, and read the payer’s own contract, before you rely on a date.

The system. No vocational entitlement post-2014; the state runs a Next Step program.

Where the rules are written. Rules 0800-02-26 (e-billing).

Electronic billing. E-billing rules apply. Direct electronic submission is on our roadmap and is not something we ship today: Med Claims Pro builds the bill, the report packet and the receivable, and files your proof of what left — you send it through the channel the Tennessee Bureau of Workers' Compensation gives you.

Nurse case managers in Tennessee are supported today. Invoice-based case-management billing needs no state pack — it works here now. Private vocational rehabilitation in Tennessee is a different story, told plainly further down, and there is a Tennessee voc-rehab list you can join.

Your week

Your week, in Tennessee’s documents.

A reformed system that funds very little vocational work, and a case-management caseload that never got any smaller.

7:45 a.m.
Telephonic updates on three files before the first visit.Entered as they end, with claim numbers and referral sources attached.
10:40 a.m.
Appointment attended, then 51 miles to the next.Wait time and mileage itemised as they happen.
2:00 p.m.
Monthly reports for two TPAs.Both built from the same entries, in your own templates.
4:30 p.m.
Invoices out, receivables started, proof filed.A follow-up list on Tuesday instead of a search through sent items.

The receivables screen: ten bills, one payer check covering four claimants, one short-pay flagged, $674.07 still owed.

One check, four claimants, one short-pay caught at $16.14, $674.07 still owed. Invented names, real workflow — and the same screen whether you invoice a TPA in Tennessee or an MCO in Ohio.

Every one of those rows is typed once, as it happens. The daily log writes itself as you go, the weekly narrative log builds in your own Word template, the invoice fills with the right units and the right payer block, and the receivable exists the moment the bill leaves. The whole chain →

What the 2014 reforms left

No entitlement, a state program, and a private market that is honest about its size.

Tennessee’s reforms removed the vocational rehabilitation entitlement and put the state’s Next Step program in its place. There is no carrier-funded private voc-rehab billing market of consequence behind that, and we are not going to describe one.

Nurse case management is the work that happens every week, invoiced to carriers and TPAs, and it needs no state pack to run — which is why it is what we sell here today.

The payer directory

Who pays you in Tennessee.

Private carriers and TPAs, with no state fund. The Bureau’s e-billing rules sit at 0800-02-26, and their effective dates are something to confirm rather than assume.

Tennessee payers

Private carriers
TPAs

National carriers you will meet

Travelers
The Hartford
AmTrust
Zurich
Chubb
Berkshire Hathaway
Liberty Mutual
AF Group / Accident Fund
Old Republic
Great American

TPAs that send the referrals

Sedgwick
Gallagher Bassett
ESIS
Helmsman
Broadspire
CorVel
TRISTAR
CCMSI
Athens Administrators

One check, many claimants. Whichever of these names is on the envelope, the check covers a dozen files at once. You record it once, tick the bills it pays, and anything short is flagged with the exact gap and the original form attached, ready to rebill. How that screen works.

Payer fax numbers and billing addresses go stale faster than any page can keep up, so we publish them only where we keep them current — today that is Ohio’s nine MCOs. Your Tennessee payers, their submission addresses and their quirks get set up during onboarding, from your own files.

What is genuinely for sale here today

Case files, adjusters, mileage, invoices.

Nurse case management billing works in Tennessee today: activity grid, itemised invoice in the payer’s format, mileage and wait time as their own lines, aging by TPA.

The activity grid

Field visit, telephonic call, wait time at the appointment, the miles there and back — logged once, with the claim number, the adjuster and the referral source attached as you type.

The itemised invoice

In the format the payer asks for, from the same entries, with the activity log behind it. No CMS-1500 unless your payer wants one — and some do.

Aging by payer

Every carrier and TPA you invoice, each with billed, paid and still-owed, and an aging list that names who is sitting on your money.

It is the same week Dana works in Ohio with different nouns: case files instead of claimants, adjusters instead of MCO coordinators, billable hours and mileage instead of W-codes. The nurse case manager page has the whole workflow.

Tennessee resources

Where the rules actually live.

Ask the Tennessee Bureau of Workers' Compensation for

the current text of Rules 0800-02-26 (e-billing)

We have not published a verified link set for Tennessee yet, and we would rather send you nowhere than somewhere out of date. If you have the current documents, send them over — admin@onservice.us.

How we keep this page honest

Every fact above is transcribed from the Tennessee Bureau of Workers' Compensation or the statute named, dated July 2026, and reviewed when the agency republishes. Where we have not verified something we say so rather than filling the gap.

Found something out of date? Tell us and we will fix it the same week: 1-877-843-1717 or admin@onservice.us.

What we have not confirmed, and will not claim. We have not confirmed the effective dates of Tennessee’s e-billing rules at 0800-02-26. Ask the Bureau of Workers’ Compensation rather than relying on our summary of them.

Tennessee · what is real today

See a Tennessee case-management caseload run itself.

Fifteen minutes, a case-management caseload on screen, and an honest answer about what Tennessee voc rehab would need. Or join the Tennessee voc-rehab list and we will write to you when there is something real to show.

There is a phone number and a person answers it: 1-877-843-1717.

States that work like Tennessee

GeorgiaRehabilitation supplier · Available today North CarolinaRehabilitation professional · Available today AlabamaNurse case manager · Nurse case managers today KentuckyNurse case manager · Nurse case managers today

All 50 states and the District of Columbia →

Questions, answered.

Is there a vocational rehabilitation entitlement in Tennessee?

Not since the 2014 reforms. The state runs a Next Step program; there is no carrier-funded private voc-rehab billing market of any size behind it. Nurse case management is the live work.

What are the e-billing rules here?

They sit at 0800-02-26, and we have not confirmed their effective dates, so we describe them rather than interpreting them. Either way we do not submit electronically — we build the bill and file proof of what left.

Does it produce a CMS-1500 if a payer wants one?

Yes, with automatic overflow past six lines, and an invoice where the payer prefers that. Both from the same entries.

I cover Tennessee and Georgia files.

Georgia registers rehabilitation suppliers under Board Rules 200.1 and 200.2 and has published rates; Tennessee does not. The jurisdiction belongs to the claim, so both live in one caseload. Georgia.

Where does my data live?

On your computer, in your own folders, exportable forever.

Tennessee workers’ comp case management billing —after 2014, and Next Step.