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Tennessee · TN

Billing, marketing, staffing and software for Tennessee practices

RCM Finder supports medical practices in Tennessee remotely, with end to end revenue cycle management, healthcare digital marketing, virtual medical assistance and a practice management system. Below are the Medicare and Medicaid details that apply in Tennessee, with sources.

Tennessee and major cities
NashvilleMemphisKnoxvilleChattanoogaBack to the full map

Tennessee billing details

Each row shows its source and when we checked it. If a source changes, we update the row.

TopicWhat applies in TennesseeSourceChecked
Medicare contractorPalmetto GBA (A/B MAC JJ)CMS, A/B MAC Jurisdiction JJOct 20, 2026
Medicaid agencyDivision of TennCare
TennCare program
Official provider pageOct 20, 2026
Provider enrollment and billingEnrollment, manuals and billing guidance for Tennessee Medicaid providersOpen the provider pageOct 20, 2026
Commercial prompt paymentUnder Tenn. Code Ann. 56-7-109, a health insurance entity must pay clean claims no later than 21 days after receipt for electronic submissions and 30 calendar days for paper claims, counted from when the insurer actually receives the claim.
Tenn. Code Ann. 56-7-109
tn.govOct 20, 2026
Medicaid timely filingUnder the TennCare Policy Manual (PAY 06-002, Rev. 5, dated Feb. 12, 2026), providers not filing with a third-party payer have 120 days to file, counted from the date of service (or from the MCO enrollment effective date when the patient was not yet enrolled on the service date).tn.govOct 20, 2026

Major cities in Tennessee

We support practices in these cities and everywhere else in Tennessee, remotely.

NashvilleMemphisKnoxvilleChattanooga
How we work

Remote by design

No office visit needed

We support practices in every state remotely, so you do not need a local office to work with us.

Rules checked for your state

Each state page lists the Medicare contractor and Medicaid details for that state, with sources and the date we last checked.

One service or all four

Begin where the gap is biggest, whether that is payments, new patients, front-desk capacity or your software.

Tennessee practice questions

Who processes Medicare claims in Tennessee?

Palmetto GBA is the Medicare Administrative Contractor (MAC) that processes Part A and Part B claims in Tennessee (A/B MAC JJ), according to CMS.

Which agency runs Medicaid in Tennessee?

Division of TennCare runs Medicaid in Tennessee (the TennCare program). The official state pages linked in the table above cover provider enrollment and billing.

How quickly must insurers pay a clean claim in Tennessee?

Under Tenn. Code Ann. 56-7-109, a health insurance entity must pay clean claims no later than 21 days after receipt for electronic submissions and 30 calendar days for paper claims, counted from when the insurer actually receives the claim.

How long do I have to file a Medicaid claim in Tennessee?

Under the TennCare Policy Manual (PAY 06-002, Rev. 5, dated Feb. 12, 2026), providers not filing with a third-party payer have 120 days to file, counted from the date of service (or from the MCO enrollment effective date when the patient was not yet enrolled on the service date).

Do you work with practices outside the largest cities in Tennessee?

Yes. We work remotely, so a practice in a small town is supported the same way as a practice in Nashville.

Which service should a practice in Tennessee start with?

Start where the problem is biggest: End to End RCM if payments are slow or denials are high, Healthcare Digital Marketing if your schedule has gaps, Virtual Medical Assistance if your front desk is stretched, or a Practice Management System if your tools are scattered. Tell us about your practice and we will suggest a first step.

What should I send first?

A short description of your practice, your specialty, your main payers and the biggest problem you want fixed. Our form asks for the basics.

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Ask about your Tennessee practice

We will reply with the details that apply to Tennessee and a suggested first step.

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