Completed reports that do not require a psychiatric evaluation:
- Completed reports received and accepted by the Program Coordinator within thirty (30) calendar days of completing the examination: $1,500.00
- Completed reports received and accepted by the Program Coordinator between thirty-one (31) and forty-five (45) calendar days of the completing the examination: $1,250.00
- Completed reports received and accepted by the Program Coordinator between forty-six (46) and sixty (60) calendar days of the completing the examination: $750.00
- Completed reports received and accepted by the Program Coordinator later than sixty (60) calendar days of completing the examination: No fee paid.
Completed reports that do require a psychiatric evaluation:
- Completed reports requiring a psychiatric evaluation and received and accepted by the Program Coordinator within thirty (30) days of completing the examination: $2,000.00
- Completed reports requiring a psychiatric evaluation and received and accepted by the Program Coordinator between thirty-one (31) and forty-five (45) calendar days of the completing the examination: $1,500.00
- Completed reports requiring a psychiatric evaluation received and accepted by the Program Coordinator between forty-six (46) and sixty (60) calendar days of the completing the examination: $1,000.00
- Completed reports requiring a psychiatric evaluation received and accepted by the Program Coordinator later than sixty (60) calendar days of completing the examination: No fee paid.
Late fees and penalties— Failure by an employer or insurer to pre-pay the evaluation fee shall allow the physician to charge the employer a $100.00 late fee in addition to the evaluation fee. If the evaluation fee and/or late fee remains unpaid fifteen (15) calendar days following the date of the evaluation, an additional $250.00 penalty is authorized. If any portion of a fee or penalty remains unpaid after an additional thirty (30) calendar day period, an additional $500.00 penalty is authorized, and again for each additional thirty (30) calendar day period, or portion thereof, that it remains unpaid until all feed and/or penalties are fully paid.
If an employer or insurer fails to pay the cancellation fee of $300.00 within fifteen (15) calendar days of the Program Coordinator's written request for the fee, and additional $250.00 penalty is authorized. If any portion of a fee or penalty remains unpaid after an additional thirty (30) calendar day period, an additional $500.00 penalty against the employer is authorized, and again for each additional thirty (30) calendar day period, or portion thereof, that it remains unpaid until all fees and/or penalties are fully paid.
Tennessee Department of Labor/Bureau of Workers' Compensation