State guide · TN ·
Dispute a medical bill in Tennessee.
Tennessee gives you stronger protections than federal law alone. Audra audits your bill against Federal No Surprises Act + Tennessee Department of Commerce & Insurance, the federal No Surprises Act, and your insurer's contracted rates — then drafts a ready-to-send appeal letter in 60 seconds.
The law
Federal No Surprises Act + Tennessee Department of Commerce & Insurance
Cite: T.C.A. § 56-7-1009 + federal NSA
Tennessee primarily relies on the federal No Surprises Act. The TN Department of Commerce & Insurance handles state-regulated plan complaints; the federal IDR process handles cross-jurisdictional disputes.
Your rights
What Tennessee protects you from.
- 01
Federal NSA: in-network cost-sharing only for emergency + in-network-facility out-of-network services.
- 02
TDCI complaint portal at tn.gov/commerce/insurance.
- 03
Hospitals must give good-faith estimates under federal NSA rules.
- 04
Tennessee Hospital Association charity-care standards apply at most major systems.
How Audra helps
From upload to appeal in 60 seconds.
01
Upload your bill
Drop a PDF, photo, or EOB into Audra. Encrypted in your browser before it leaves your device.
02
We check it against the law
Audra cross-references every line item against Federal No Surprises Act + Tennessee Department of Commerce & Insurance, the federal No Surprises Act, your insurer's contracted rates, and CMS billing rules.
03
Get a ready-to-send appeal
We draft a letter citing the specific TN statute and any federal protections that apply, formatted for your insurer and provider. Print it, email it, or send it from inside Audra.
In-state coverage
Works for bills from any Tennessee provider.
Audra audits bills from every major hospital system in Tennessee, including:
If your bill comes from an out-of-state provider, Audra still works — federal protections apply nationwide.
If the provider won't budge
File a complaint with the TN Attorney General.
If your appeal letter doesn't resolve the bill within 30 days, escalate to the Tennessee Attorney General — Consumer Affairs. They have authority to investigate billing complaints and, in some cases, subpoena provider records.
Official complaint portal
Tennessee Attorney General — Consumer Affairs
www.tn.gov/attorneygeneral/working-for-tennessee/consumer/file-a-complaint.htmlStop paying what you don't owe.
Your first audit is free. After that, $30 per bill, or $15/mo for up to 25 audits/month.
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