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IMPORTANT: THE TRICARE MANUALS WEB SITE HAS MOVED
http://manuals.tricare.osd.mil has moved to https://manuals.health.mil

Please bookmark this new address now!

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The 2015 TRICARE (T-2017) manuals are now being displayed using a new web format. The new web format includes new features that will make navigation of the manuals smoother and simpler.

This new display format is intended to work fully with all operating systems (Windows, OS X, IOS, Android, etc.), browsers (Edge, Chrome, Safari, etc.), and all devices (laptops and handheld devices). The second version of the CFR (for use with the 2015 (T-2017) Manuals) is also displayed in the new format.

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MONTHLY MAINTENANCE: The DHA web site is scheduled for it's monthly maintenance on Saturday, December 15th at 4 AM (MST) until Sunday, December 16th at 10 PM (MST). The TRICARE Manuals web site may be available intermittently during this period but it's usage is not recommended.

TRICARE Systems Manual 7950.3-M

Each TMA Manual distributed on the web currently incorporates all published changes. Although changes are published, they are not implemented by the contractors until they receive direction to do so by the Contracting Officer. Each TRICARE Manual on the web incorporates all changes by the date of publication. Although changes are published, they may not be implemented by the contractor until directed to do so by the Contracting Officer.
The TRICARE Systems Manual (TSM) is incorporated by reference in the Managed Care Support Contracts (MCSCs) and is the primary vehicle for systems requirements and instructions. The TSM provides a mechanism for keeping the contracts current by clarifying or modifying existing contractual requirements, adding new specifications/requirements and deleting obsolete information. The TRICARE Systems Manual (TSM), 7950.3-M, defines contractor responsibilities for automated processing of health care information, reporting and transmission of relevant data between the contractor and the Defense Health Agency (DHA). The manual also provides requirements for TRICARE contractors to interface with the Defense Enrollment Eligibility Reporting System (DEERS) for obtaining beneficiary eligibility verifications from DEERS and performing TRICARE Prime enrollments onto DEERS. Requirements for the TRICARE Encounter Data (TED) and the TRICARE Duplicate Claims System (DCS) – TRICARE Encounter Data (TED) Version are located in this manual.
  • April 1, 2015 Edition
    Last Updated: November 16, 2018
    Most Recent Change Number: Change 20
    These manuals are applicable to the East and West Regional Managed Care Support Contracts awarded on or after 07/21/2016. Upon direction of the Contracting Officer, all or portions of these manuals may also apply to the TRICARE Quality Monitoring Contract (TQMC), TRICARE Claims Audit Review Services (TCARS), TRICARE Overseas Program (TOP), TRICARE Pharmacy (TPharm), TRICARE Dental Program (TDP), and TRICARE Dual Eligible Fiscal Intermediary Contract (TDEFIC).
    The April 1, 2015 edition of the TRICARE Systems Manual, 7950.3-M is available online.
    All future changes will be published to this edition.

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    Page Count: 774
    This change adds new codes. This change is published in conjunction with Apr 2015 TOM Change 22.
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If you have a question regarding TRICARE benefits, please go to the TRICARE Contact Us page page.
If you need help with technical/operational issues, please go to the TRICARE Manuals Online Help Resources page.

The appearance of hyperlinks to external websites does not constitute endorsement by the DHA of these websites or the information, products or services contained therein. For other than authorized government activities, the DHA does not exercise any editorial control over the information you may find at other locations. Such links are provided consistent with the stated purpose of this DoD website.

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