The Benefits Administration Review Team, or BART is a team of Benefits Administration professionals that reviews enrollment and premium appeals, which includes disputes arising from requests to enroll, change benefit elections, or terminate plan coverage. BART also may consider appeals about premium disputes.
BART does not consider appeals about denied medical benefit claims. All benefit claims appeals (such as pre-determination requests, claim denials or claims payment matters) are handled through the respective insurance carriers. Those are called Medical Service Appeals and BART does not handle them.
A request for BART review may be submitted by the employer/agency/ABC or directly by the member. Written requests must include the plan member’s name, employee ID (or Social Security number), phone number or email address, explanation of the issue, and reason why the additional review is being requested along with further supporting documentation relating to the request. The mailing address is:
312 Rosa L. Parks Avenue, Suite 1900, WRS Tennessee Tower, Nashville, TN 37243 or the request may be emailed to benefits.administration@tn.gov.
The time frame for their review process varies. However, most cases take approximately three weeks from date of receipt by the appeals section unless additional documentation is requested.
The BART appeal determination will be communicated to the member. BART determinations are individual to each case and are not to be construed by as a policy change on the part of the State Group Insurance Program. individual to the case in
Inquiries regarding premium and enrollment appeals should be directed to the Benefits Administration Appeals Section by phone at 615-532-2200 or 1-866-576-0029.