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Bill would require insurers to report prior‑auth, denial and service metrics to state regulators
Summary
HB 2162 would require insurers to publicly report measures such as prior authorization use, denial and appeal rates, turnaround times, payment timelines and customer service metrics to the Department of Commerce and Insurance; committee approved the amendment and advanced the bill to full committee.
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Sponsor explained that House Bill 21‑62 (as amended) is aimed at increasing transparency in insurance operations by requiring public reporting to the Department of Commerce and Insurance. He listed the metrics the bill would require insurers to report, including prior authorizations, turnaround and approval rates, denial and appeal metrics, payment timelines, audit activity and customer service metrics.
Sponsor argued the data would allow employers and consumers to compare plans on service quality and claims handling: "If an employer is purchasing a health insurance plan for their thousands of employees in Tennessee, shouldn't there be, readily available data on which insurance plans offers the best customer service or how quickly their claims get paid," the sponsor said. The committee adopted an amendment (014370) and the chair reported the bill passed from the subcommittee to the full insurance committee.
