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TRICARE Program Manuals - 2015 Edition (T-2017)
TRICARE Operations Manual 6010.59-M, April 2015
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TRICARE Systems Manual 7950.3-M, April 2015
Other Manuals
32 CFR 199 (DHA Version), December 2016
DoD Women, Infants, and Children (WIC) Overseas Program Policy Manual, July 2017
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10 USC 55 (DHA Version), January 2007
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TRICARE Systems Manual 7950.3-M, April 2015
Manual Change History
TRICARE Systems Manual 7950.3-M, April 2015
Foreword
Change 30 (September 27, 2019)
Change 14 (May 30, 2018)
Change 4 (October 20, 2017)
Baseline (April 1, 2015)
Chap 1 -- General Automated Data Processing (ADP) Requirements
Change 50 (July 29, 2021)
Baseline (April 1, 2015)
Sect 1.1 -- General Automated Data Processing (ADP) Requirements
Change 81 (June 14, 2024)
Change 55 (November 17, 2021)
Change 50 (July 29, 2021)
Change 49 (July 14, 2021)
Change 21 (January 31, 2019)
Change 20 (November 16, 2018)
Change 7 (December 21, 2017)
Change 6 (November 28, 2017)
Change 4 (October 20, 2017)
Change 2 (May 17, 2017)
Change 1 (March 10, 2017)
Baseline (April 1, 2015)
Sect 1.2 -- Beneficiary Authentication Requirements
Baseline (April 1, 2015)
Addendum A -- Defense Finance And Accounting Service (DFAS) Allotment Record Layouts For Defense Health Agency (DHA) Contracts
Baseline (April 1, 2015)
Addendum B -- United States Air Force (USAF) Allotment Record Layouts For Defense Health Agency (DHA) Contracts
Change 50 (July 29, 2021)
Baseline (April 1, 2015)
Chap 2 -- TRICARE Encounter Data (TED)
Change 53 (September 8, 2021)
Change 16 (June 22, 2018)
Baseline (April 1, 2015)
Sect 1.1 -- Data Reporting - TRICARE Encounter Data (TED) Record Submission
Change 83 (October 21, 2024)
Change 74 (December 6, 2023)
Change 2 (May 17, 2017)
Baseline (April 1, 2015)
Sect 1.2 -- Data Reporting - Provider File Record Submission
Baseline (April 1, 2015)
Sect 2.1 -- Data Requirements - Overview
Baseline (April 1, 2015)
Sect 2.2 -- Data Requirements - Data Element Layout
Change 40 (October 14, 2020)
Change 21 (January 31, 2019)
Baseline (April 1, 2015)
Sect 2.3 -- Data Requirements - Header Record Data
Baseline (April 1, 2015)
Sect 2.4 -- Data Requirements - Institutional/Non-Institutional Record Data Elements (A - D)
Change 74 (December 6, 2023)
Change 68 (June 12, 2023)
Change 4 (October 20, 2017)
Change 2 (May 17, 2017)
Baseline (April 1, 2015)
Sect 2.5 -- Data Requirements - Institutional/Non-Institutional Record Data Elements (E - L)
Change 63 (October 18, 2022)
Change 40 (October 14, 2020)
Change 33 (December 13, 2019)
Change 18 (September 11, 2018)
Change 4 (October 20, 2017)
Baseline (April 1, 2015)
Sect 2.6 -- Data Requirements - Institutional/Non-Institutional Record Data Elements (M - O)
Change 71 (August 22, 2023)
Change 68 (June 12, 2023)
Change 66 (May 5, 2023)
Change 54 (September 16, 2021)
Change 29 (September 20, 2019)
Change 4 (October 20, 2017)
Change 2 (May 17, 2017)
Change 1 (March 10, 2017)
Baseline (April 1, 2015)
Sect 2.7 -- Data Requirements - Institutional/Non-Institutional Record Data Elements (P)
Change 66 (May 5, 2023)
Change 63 (October 18, 2022)
Change 60 (March 29, 2022)
Change 48 (April 9, 2021)
Change 45 (February 3, 2021)
Change 43 (December 16, 2020)
Change 35 (March 26, 2020)
Change 25 (June 18, 2019)
Change 22 (March 12, 2019)
Change 21 (January 31, 2019)
Change 16 (June 22, 2018)
Change 13 (May 24, 2018)
Change 11 (May 11, 2018)
Change 9 (February 6, 2018)
Change 5 (November 2, 2017)
Change 4 (October 20, 2017)
Change 2 (May 17, 2017)
Change 1 (March 10, 2017)
Baseline (April 1, 2015)
Sect 2.8 -- Data Requirements - Institutional/Non-Institutional Record Data Elements (Q - S)
Change 78 (May 2, 2024)
Change 76 (January 12, 2024)
Change 74 (December 6, 2023)
Change 73 (September 8, 2023)
Change 70 (August 1, 2023)
Change 69 (June 16, 2023)
Change 68 (June 12, 2023)
Change 67 (May 31, 2023)
Change 66 (May 5, 2023)
Change 63 (October 18, 2022)
Change 60 (March 29, 2022)
Change 58 (February 25, 2022)
Change 57 (December 23, 2021)
Change 56 (November 29, 2021)
Change 54 (September 16, 2021)
Change 53 (September 8, 2021)
Change 52 (August 10, 2021)
Change 49 (July 14, 2021)
Change 46 (February 16, 2021)
Change 44 (December 24, 2020)
Change 42 (December 9, 2020)
Change 41 (October 27, 2020)
Change 39 (September 8, 2020)
Change 38 (August 28, 2020)
Change 37 (June 12, 2020)
Change 34 (January 28, 2020)
Change 32 (December 5, 2019)
Change 31 (October 10, 2019)
Change 29 (September 20, 2019)
Change 27 (July 19, 2019)
Change 24 (May 7, 2019)
Change 21 (January 31, 2019)
Change 15 (June 15, 2018)
Change 10 (March 28, 2018)
Change 1 (March 10, 2017)
Baseline (April 1, 2015)
Sect 2.9 -- Data Requirements - Institutional/Non-Institutional Record Data Elements (T - Z)
Change 21 (January 31, 2019)
Baseline (April 1, 2015)
Sect 2.10 -- Data Requirements - Provider Record Data
Change 66 (May 5, 2023)
Change 61 (April 26, 2022)
Change 53 (September 8, 2021)
Change 4 (October 20, 2017)
Baseline (April 1, 2015)
Sect 3.1 -- General Edit Requirements - Overview
Baseline (April 1, 2015)
Sect 4.1 -- Header Edit Requirements (ELN 000 - 099)
Change 76 (January 12, 2024)
Change 74 (December 6, 2023)
Change 71 (August 22, 2023)
Change 66 (May 5, 2023)
Change 57 (December 23, 2021)
Change 56 (November 29, 2021)
Change 54 (September 16, 2021)
Change 52 (August 10, 2021)
Change 40 (October 14, 2020)
Change 39 (September 8, 2020)
Change 37 (June 12, 2020)
Change 36 (April 15, 2020)
Change 34 (January 28, 2020)
Change 32 (December 5, 2019)
Change 29 (September 20, 2019)
Change 16 (June 22, 2018)
Change 10 (March 28, 2018)
Change 4 (October 20, 2017)
Baseline (April 1, 2015)
Sect 5.1 -- Institutional Edit Requirements (ELN 000 - 099)
Change 16 (June 22, 2018)
Change 13 (May 24, 2018)
Change 4 (October 20, 2017)
Change 2 (May 17, 2017)
Change 1 (March 10, 2017)
Baseline (April 1, 2015)
Sect 5.2 -- Institutional Edit Requirements (ELN 100 - 199)
Change 74 (December 6, 2023)
Change 60 (March 29, 2022)
Change 58 (February 25, 2022)
Change 54 (September 16, 2021)
Change 48 (April 9, 2021)
Change 45 (February 3, 2021)
Change 28 (August 28, 2019)
Change 24 (May 7, 2019)
Change 21 (January 31, 2019)
Change 16 (June 22, 2018)
Change 4 (October 20, 2017)
Change 2 (May 17, 2017)
Baseline (April 1, 2015)
Sect 5.3 -- Institutional Edit Requirements (ELN 200 - 299)
Change 66 (May 5, 2023)
Change 53 (September 8, 2021)
Change 48 (April 9, 2021)
Change 45 (February 3, 2021)
Change 40 (October 14, 2020)
Change 21 (January 31, 2019)
Change 16 (June 22, 2018)
Change 13 (May 24, 2018)
Change 4 (October 20, 2017)
Change 2 (May 17, 2017)
Baseline (April 1, 2015)
Sect 5.4 -- Institutional Edit Requirements (ELN 300 - 399)
Change 66 (May 5, 2023)
Change 53 (September 8, 2021)
Change 36 (April 15, 2020)
Change 28 (August 28, 2019)
Change 21 (January 31, 2019)
Change 2 (May 17, 2017)
Baseline (April 1, 2015)
Sect 5.5 -- Institutional Edit Requirements (ELN 400 - 499)
Change 53 (September 8, 2021)
Baseline (April 1, 2015)
Sect 6.1 -- Non-Institutional Edit Requirements (ELN 000 - 099)
Change 54 (September 16, 2021)
Baseline (April 1, 2015)
Sect 6.2 -- Non-Institutional Edit Requirements (ELN 100 - 199)
Change 76 (January 12, 2024)
Change 68 (June 12, 2023)
Change 62 (August 3, 2022)
Change 56 (November 29, 2021)
Change 52 (August 10, 2021)
Change 47 (March 23, 2021)
Change 36 (April 15, 2020)
Change 32 (December 5, 2019)
Change 28 (August 28, 2019)
Change 24 (May 7, 2019)
Change 23 (March 15, 2019)
Change 21 (January 31, 2019)
Change 16 (June 22, 2018)
Change 8 (December 29, 2017)
Change 4 (October 20, 2017)
Change 2 (May 17, 2017)
Change 1 (March 10, 2017)
Baseline (April 1, 2015)
Sect 6.3 -- Non-Institutional Edit Requirements (ELN 200 - 299)
Change 21 (January 31, 2019)
Change 16 (June 22, 2018)
Change 4 (October 20, 2017)
Change 1 (March 10, 2017)
Baseline (April 1, 2015)
Sect 6.4 -- Non-Institutional Edit Requirements (ELN 300 - 399)
Change 80 (June 10, 2024)
Change 78 (May 2, 2024)
Change 74 (December 6, 2023)
Change 66 (May 5, 2023)
Change 58 (February 25, 2022)
Change 56 (November 29, 2021)
Change 54 (September 16, 2021)
Change 47 (March 23, 2021)
Change 41 (October 27, 2020)
Change 29 (September 20, 2019)
Change 23 (March 15, 2019)
Change 21 (January 31, 2019)
Change 18 (September 11, 2018)
Change 16 (June 22, 2018)
Change 12 (May 18, 2018)
Change 8 (December 29, 2017)
Change 4 (October 20, 2017)
Change 2 (May 17, 2017)
Change 1 (March 10, 2017)
Baseline (April 1, 2015)
Sect 7.1 -- Provider Edit Requirements (ELN 000 - 099)
Change 66 (May 5, 2023)
Change 4 (October 20, 2017)
Baseline (April 1, 2015)
Sect 7.2 -- Provider Edit Requirements (ELN 100 - 199)
Baseline (April 1, 2015)
Sect 8.1 -- Financial Edit Requirements
Change 49 (July 14, 2021)
Baseline (April 1, 2015)
Addendum A -- Data Requirements - Country And/Or Islands Codes
Change 16 (June 22, 2018)
Baseline (April 1, 2015)
Addendum B -- Data Requirements - State Codes
Baseline (April 1, 2015)
Addendum C -- Data Requirements - Provider’s Major Specialty Codes
Change 79 (May 29, 2024)
Change 75 (December 20, 2023)
Change 67 (May 31, 2023)
Change 16 (June 22, 2018)
Change 13 (May 24, 2018)
Baseline (April 1, 2015)
Addendum D -- Data Requirements - Type Of Institution Codes
Change 79 (May 29, 2024)
Change 75 (December 20, 2023)
Change 67 (May 31, 2023)
Change 13 (May 24, 2018)
Baseline (April 1, 2015)
Addendum E -- Data Requirements - Other Special Procedure Codes
Baseline (April 1, 2015)
Addendum F -- Data Requirements - Place Of Service/Type Of Service Allowable Relationships
Change 61 (April 26, 2022)
Change 60 (March 29, 2022)
Change 53 (September 8, 2021)
Change 16 (June 22, 2018)
Change 2 (May 17, 2017)
Change 1 (March 10, 2017)
Baseline (April 1, 2015)
Addendum G -- Data Requirements - Adjustment/Denial Reason Codes
Change 66 (May 5, 2023)
Change 63 (October 18, 2022)
Change 60 (March 29, 2022)
Change 53 (September 8, 2021)
Change 36 (April 15, 2020)
Change 28 (August 28, 2019)
Change 21 (January 31, 2019)
Change 16 (June 22, 2018)
Baseline (April 1, 2015)
Addendum H -- Data Requirements - Revenue Codes
Change 63 (October 18, 2022)
Change 25 (June 18, 2019)
Change 5 (November 2, 2017)
Change 2 (May 17, 2017)
Baseline (April 1, 2015)
Addendum I -- Data Requirements - Contract Area Of Responsibility
Change 66 (May 5, 2023)
Change 61 (April 26, 2022)
Change 53 (September 8, 2021)
Change 16 (June 22, 2018)
Baseline (April 1, 2015)
Addendum J -- Data Requirements - Pay Plan Code Valid Values
Change 29 (September 20, 2019)
Baseline (April 1, 2015)
Addendum K -- Data Requirements - Dependent Elements And Values For Rank Code, Sponsor Pay Category
Change 49 (July 14, 2021)
Change 40 (October 14, 2020)
Baseline (April 1, 2015)
Addendum L -- Data Requirements - Health Care Delivery Program (HCDP) Plan Coverage Code Values
Change 19 (September 14, 2018)
Change 16 (June 22, 2018)
Change 4 (October 20, 2017)
Baseline (April 1, 2015)
Addendum M -- Data Requirements - Default Values For Complete Claims Denials
Change 21 (January 31, 2019)
Baseline (April 1, 2015)
Addendum N -- UB-04/UB-92 Conversion Table - To Be Used For Reporting Non-Institutional TRICARE Encounter Data (TED) Records
Change 30 (September 27, 2019)
Change 25 (June 18, 2019)
Change 5 (November 2, 2017)
Change 3 (June 30, 2017)
Change 2 (May 17, 2017)
Baseline (April 1, 2015)
Chap 3 -- Defense Enrollment Eligibility Reporting System (DEERS)
Baseline (April 1, 2015)
Sect 1.1 -- General
Change 82 (August 2, 2024)
Change 68 (June 12, 2023)
Change 29 (September 20, 2019)
Baseline (April 1, 2015)
Sect 2.1 -- Referenced Documents
Change 30 (September 27, 2019)
Change 4 (October 20, 2017)
Baseline (April 1, 2015)
Sect 3.1 -- Beneficiary Identification
Baseline (April 1, 2015)
Sect 4.1 -- Defense Enrollment Eligibility Reporting System (DEERS) Concepts
Change 82 (August 2, 2024)
Change 49 (July 14, 2021)
Change 29 (September 20, 2019)
Change 15 (June 15, 2018)
Change 4 (October 20, 2017)
Baseline (April 1, 2015)
Sect 4.2 -- Defense Enrollment Eligibility Reporting System (DEERS) Functionality
Change 82 (August 2, 2024)
Change 68 (June 12, 2023)
Change 59 (March 4, 2022)
Change 51 (August 5, 2021)
Change 17 (August 7, 2018)
Change 4 (October 20, 2017)
Baseline (April 1, 2015)
Sect 4.3 -- Defense Manpower Data Center (DMDC) Support
Baseline (April 1, 2015)
Sect 4.4 -- Test Environment
Change 4 (October 20, 2017)
Baseline (April 1, 2015)
Sect 5.1 -- Defense Enrollment Eligibility Reporting System (DEERS) Functions In Support Of The TRICARE Dental Program (TDP) And The TRICARE Retiree Dental Program (TRDP)
Change 82 (August 2, 2024)
Change 17 (August 7, 2018)
Baseline (April 1, 2015)
Sect 5.2 -- Defense Enrollment Eligibility Reporting System (DEERS) Functions In Support Of The TRICARE Active Duty Dental Program (ADDP)
Change 30 (September 27, 2019)
Baseline (April 1, 2015)
Chap 4 -- TRICARE Duplicate Claims System (DCS) - TRICARE Encounter Data (TED) Version
Change 14 (May 30, 2018)
Baseline (April 1, 2015)
Sect 1.1 -- Overview
Change 72 (August 28, 2023)
Change 68 (June 12, 2023)
Change 65 (March 27, 2023)
Change 64 (February 22, 2023)
Change 14 (May 30, 2018)
Change 4 (October 20, 2017)
Baseline (April 1, 2015)
Sect 1.2 -- Duplicate Claims Data
Change 68 (June 12, 2023)
Change 14 (May 30, 2018)
Baseline (April 1, 2015)
Sect 1.3 -- Multi-Contractor Claim Sets
Change 14 (May 30, 2018)
Baseline (April 1, 2015)
Sect 1.4 -- System Implementation And Operational Requirements
Change 77 (March 12, 2024)
Change 68 (June 12, 2023)
Change 26 (June 28, 2019)
Change 14 (May 30, 2018)
Baseline (April 1, 2015)
Addendum A -- Duplicate Claims System (DCS) Displayed Data Fields
Change 14 (May 30, 2018)
Baseline (April 1, 2015)
Addendum B -- Report Descriptions And Examples
Change 14 (May 30, 2018)
Baseline (April 1, 2015)
Obsolete Files
Change 1 (March 10, 2017)
Baseline (April 1, 2015)
Change 1 (March 10, 2017)
Baseline (April 1, 2015)
Change 4 (October 20, 2017)
Baseline (April 1, 2015)
Change 4 (October 20, 2017)
Baseline (April 1, 2015)
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