We maintain active credentials and deep contract knowledge across every major TN payer — commercial, public, and specialty programs including TennCare's three MCO partners.
Major Payers We Bill
BCBS Tennessee
UnitedHealth
Aetna
Cigna
Humana
Ambetter from Home State Health
Oscar Health Tennessee
Medicaid & Public Programs
TennCare (TN Medicaid) & CoverKids — Full managed care & fee-for-service billing
TennCare MCO billing: BlueCare, UnitedHealthcare Community Plan & Amerigroup
Medicare Part A, B & Medicare Advantage plans in Tennessee
A structured, transparent workflow designed to maximize collections at every stage of your Tennessee revenue cycle.
01
Practice Audit & Onboarding
We start with a free revenue cycle audit to identify leakage points specific to Tennessee payers, TennCare MCOs, and your specialty.
02
Credentialing & Enrollment
Rapid enrollment with all Tennessee commercial, TennCare, and Medicare payers — typically completed in 30–60 days.
03
Claim Submission & Tracking
Clean claim submission within 24 hours of service with real-time tracking across all Tennessee payer and TennCare portals.
04
Denial Management & AR
Aggressive follow-up on every denied or unpaid claim — targeting Tennessee's most common denial patterns for maximum recovery.
Specialties We Serve Across Tennessee
From Nashville to Memphis to Knoxville — deep specialty expertise means we know exactly how to code, submit, and appeal for your specific practice type across all three grand divisions of Tennessee.
Primary Care & Family Medicine
Annual wellness billing, E&M coding optimization, and preventive care services under TennCare FFS and MCO contracts.
Cardiology
Complex procedure coding, stress test billing, and BCBS Tennessee prior authorization management for cardiac services.
Mental & Behavioral Health
Telehealth billing, substance abuse treatment coding, and TennCare behavioral health carve-out billing compliance.
Orthopedics & Surgery
Surgical coding, implant billing, TN Workers' Comp claims, and outpatient surgery center billing statewide.
Neurology
EEG, EMG, and sleep study billing with Humana and UnitedHealth TN contract expertise across East, Middle, and West TN.
Urgent Care & Emergency
Fast-turnaround billing for high-volume urgent care centers and Tennessee emergency department coding with all major TN payers.
Why ParaMed for Tennessee Healthcare Providers
Built for Tennessee's unique regulatory environment — we don't just process claims, we protect and grow your bottom line across every region of the Volunteer State.
State-Specific Compliance
Full TennCare managed care billing expertise across BlueCare, UnitedHealthcare Community Plan, and Amerigroup — including TN-specific EDI requirements and CoverKids CHIP compliance.
Faster Reimbursements
Deep BCBS Tennessee and Humana contract knowledge allows us to navigate prior authorization requirements and accelerate reimbursement timelines for TN practices significantly.
Certified Expert Coders
AAPC and AHIMA certified coders with deep Tennessee payer knowledge — covering East, Middle, and West TN payer nuances to reduce errors and maximize capture rates.
Real-Time RCM Analytics
Live reporting dashboards give Tennessee providers full visibility into claim status, TennCare MCO performance, A/R aging, and Workers' Compensation claim tracking at any time.
ParaMed vs. In-House Billing in Tennessee
See how outsourcing your RCM to ParaMed compares to maintaining an internal billing team — across cost, performance, and TennCare compliance.
Feature
In-House Billing
ParaMed Billing Recommended
Other Outsourced
TN Payer & TennCare MCO Knowledge
Limited
✓ Deep TN expertise
Generic
Clean Claim Rate
75–85%
98%+
88–93%
Denial Recovery Rate
60–70%
92%
75–82%
TennCare / CoverKids Billing
Partial
✓ Full coverage
Partial
Real-Time Analytics Dashboard
✗
✓ Included
Add-on cost
Credentialing & Enrollment
✗
✓ Included
✗ Extra fee
Monthly Cost (avg. small practice)
$5,000–$9,000/mo
% of collections
Flat fee + setup
What Tennessee Providers Say
Real results from real practices across the Volunteer State — Nashville, Memphis, Knoxville, and beyond.
"ParaMed cut our A/R days by 17 days within the first quarter. Their knowledge of BCBS Tennessee and TennCare MCO billing is exceptional — they resolved denials our previous biller had left pending for months."
DM
Dr. Mark
Cardiologist · TN
"Switching to ParaMed transformed our multi-site practice. Our TennCare denials dropped by 58% in 90 days and the analytics dashboard keeps every location on the same page. Revenue is up 29% year-over-year."
KP
Karen
Multi-Site Family Practice · TN
"Our behavioral health clinic relies on TennCare for over 60% of our patients. ParaMed's handling of TennCare carve-out billing and telehealth coding has been flawless. Highly recommend to any East TN provider."
BW
Dr. Beverly
Behavioral Health Director · TN
Free · No Obligation
Get Your Free Tennessee Billing Audit
Discover exactly how much revenue your Tennessee practice is leaving on the table. Our team will review your current billing performance and provide a detailed improvement roadmap — at no cost.
Completed in 24–48 hours
No credit card or commitment required
HIPAA-compliant & 100% confidential
Tailored for TennCare & TN payer networks
Speaks to your specialty & practice size
We respect your privacy. Your information is protected under HIPAA and will never be shared or sold.
Frequently Asked Questions
Everything Tennessee providers ask us before getting started.
How long does it take to get started with ParaMed in Tennessee?
Most Tennessee practices are fully onboarded and billing through ParaMed within 7–14 business days. Our credentialing team handles TennCare MCO and commercial payer enrollment simultaneously, with most TN payers activating in 30–60 days.
Do you handle TennCare and CoverKids billing?
Yes — we provide full TennCare billing including all three MCO partners (BlueCare, UnitedHealthcare Community Plan, and Amerigroup), fee-for-service claims, CoverKids CHIP billing, and dual-eligible crossover claims. We are highly experienced with Tennessee-specific EDI requirements and behavioral health carve-out billing.
What is your fee structure?
ParaMed charges a percentage of collections — meaning we only get paid when you get paid. There are no hidden setup fees or monthly minimums. Contact us for a custom quote based on your specialty and volume, and we'll show you a projected ROI based on your current billing performance.
Can you integrate with my existing EHR or practice management system?
Yes. ParaMed integrates with all major EHR and practice management platforms including Epic, athenahealth, eClinicalWorks, Kareo, DrChrono, and more. Our technical team handles the full integration setup at no additional cost.
How do you handle denied claims from Tennessee payers?
Every denied claim is reviewed within 24 hours. We identify the denial root cause, correct any errors, submit the appeal with complete supporting documentation, and track it through resolution. Our 92% Tennessee denial recovery rate is the result of this aggressive, systematic approach applied to every single unpaid claim.
Is my patient data secure with ParaMed?
Absolutely. ParaMed is fully HIPAA compliant, operates under signed Business Associate Agreements (BAAs), and uses bank-grade encrypted data transmission and storage. We undergo regular third-party security audits and adhere to Tennessee's healthcare data privacy standards.
Ready to maximize revenue for your Tennessee practice? Get a no-obligation free audit today — results in 48 hours.
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