Each request for an exception to the claims filing deadline is reviewed individually and considered by itself merits. Such requests for an exception must embrace an entire rationalization of the circumstances of the late submitting, along with all out there documentation supporting the request, and the particular declare denied for late submitting. Authorization to obtain or release info.
A dependent of an energetic duty, Selected Reserve or Individual Ready Reserve member, or a member of the Selected Reserve or Individual Ready Reserve, who has been enrolled within the TDP, and has been determined to be eligible for advantages, as set forth in paragraph of this part. The variety of pediatric patients at such facility is inadequate to support satisfaction of the accreditation or professional requirements in pediatric dental care that apply to such packages or college students. Each TRICARE contractor shall submit on or before January 31 of every year an annual report to the Director, TRICARE Management Activity, or a designee, overlaying the 12 months of the earlier calendar 12 months. This report shall include, as a minimum, the quantity and complete dollar of instances of potential third-party payer/FMCRA liability referred to uniformed providers claims authorities for further investigation and collection. These figures are to be itemized by the states and uniformed companies to which the instances are referred.