Planning a change in practice location? Be sure to keep Renaissance informed.
To maintain uninterrupted participation in the Renaissance network, providers should notify us as soon as possible of any practice location changes, office transfers or employment transitions.
Please note providers who are terminated from the network and are not added to another contracted office within 30 days are required to complete the full credentialing process before rejoining the network. This can result in delays in network participation and may impact claim processing. The 30-day requirement is tied to NCQA standards and serves as an important safeguard to ensure provider information remains current and members have access to accurate network data.
Early communication helps ensure a smooth transition, minimizes potential disruptions, and allows our team to assist with any necessary enrollment or credentialing requirements. If you anticipate a practice change, please reach out to Renaissance as soon as possible so we can help facilitate the process.
D7210 Prior Authorization Requirement Effective October 1
Reminder for Providers: As of Oct. 1, a prior authorization for procedure code D7210 (Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth) is required.
Claims submitted for D7210 are now subject to this prior authorization requirement. To help avoid claim denials or processing delays, providers should ensure an approved prior authorization is obtained before rendering and billing for this service.
If you have any questions regarding this update or the prior authorization process, please contact your Provider Representative for assistance.
Your Feedback Matters: Watch for Our Upcoming Provider Satisfaction Survey
At Renaissance, we are committed to building strong partnerships with our providers and continuously improving the services and support we offer. In the coming weeks, selected providers may receive a Provider Satisfaction Survey.
If you receive a survey invitation, we encourage you to take a few minutes to share your feedback. Your input helps us better understand what’s working well and where we can improve processes, communications, tools and provider support.
The feedback we receive plays an important role in helping us:
- Enhance the provider experience
- Improve access to care for our members
- Identify opportunities for better communication and education
- Strengthen our programs and services to better meet the needs of both providers and patients
Your voice helps shape future improvements, and we truly value your participation. Thank you for partnering with us to deliver quality care to the members we serve.
Fraud, Waste and Abuse Training Reminder
As a reminder, completion of the Fraud, Waste and Abuse (FWA) training is an annual contractual requirement outlined in the provider agreement completed when enrolling as a participating provider with Renaissance.
The 2026 FWA training and acknowledgment form must be completed by Dec. 31, 2026.
To complete the training:
- Visit the Renaissance TennCare Provider website:
https://tenncare.renaissancebenefits.com/providers/ - Scroll to the bottom of the provider page and select “Provider Training and Education.”
- Access and review the Fraud, Waste and Abuse Training
- After completing the training, please complete and submit the Acknowledgment Form:
https://forms.cloud.microsoft/pages/responsepage.aspx?id=FP-SALIvTUKVMjX6XBDFC9w0kBbKl-pJsfzjI_8ehbJUREY4QlI3V0ZIQUxKRzQwQkFXRzYxMjhSMy4u&route=shorturl
Important: The Acknowledgment Form must be submitted for your office to receive credit for completing the training. A separate acknowledgment form must be submitted for each Tax ID associated with your office(s).
We appreciate your partnership and ask that you complete both the training and acknowledgment form no later than Dec. 31, 2026, to maintain compliance with program requirements.
If you have any questions or need assistance accessing the training materials, please don’t hesitate to reach out. We’re happy to help!
