Insurance, Health, Accident - As enacted, establishes procedures for recoupment of overpayments made to a healthcare provider by certain health insurance entities. - Amends TCA Title 56; Title 63 and Title 68.

This bill establishes new rules for how health insurance companies in Tennessee can recover overpayments made to healthcare providers. It limits the time frame for recouping funds, generally allowing insurers to only pursue overpayments within six months of the original payment unless fraud is involved. The law also requires insurers to provide detailed written notice at least 60 days before withholding payment and mandates that providers be allowed to appeal the decision before any money is withheld. Additionally, the bill protects providers from being penalized for reporting their own overpayments and sets specific penalties for insurance entities that fail to follow these procedures.