This election can be accomplished through electronic means. Ascertaining total potential liability. It is crucial that the appropriate claims answerable for asserting the claim towards the third-party payer obtain from the TRICARE contractor a report of all amounts expended by the United States for care ensuing from the incident upon which potential liability within the third party is based . Prior to assertion and final settlement of a claim, it will be necessary for the responsible claims authority to secure from the TRICARE contractor updated data to insure that each one amounts expended beneath TRICARE are included within the authorities’s declare. It is equally necessary that info on future medical funds be obtained through the investigative process and included as part of the federal government’s claim.
The provider have to be a collaborating provider under TRICARE for all claims. The provider should comply with follow all high quality assurance and utilization management procedures established pursuant to this section. The provider must meet all applicable necessities in paragraph of this part.