KEPRO to Provide Additional Call Center Services to TennCare
KEPRO will manage the toll-free call center that allows TennCare's members to file medical issues or appeals by phone. The call center currently receives an average of 2,500 calls per week.
"For the past decade, KEPRO has had the honor of supporting TennCare and its members through appeals management," said KEPRO President and CEO
Since 2007, KEPRO has supported the TennCare program through medical necessity, clinical contraindication and hardship reviews, providing medical testimony at fair hearings, in addition to various quality improvement initiatives through audits and analytical analysis. KEPRO also provides training on medical and eligibility appeals processing, as well as onsite IT support.
KEPRO's management of the toll-free call center will include requests for medical (including physical health and behavioral health) or pharmacy services, reimbursement, billing relief, and health plan changes, as well as requests for reconsideration of adverse actions, including denials, delays, reductions, suspensions, and termination of coverage.
KEPRO will begin managing the call center on
To learn more about the services and solutions KEPRO offers, visit www.kepro.com.
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