TRICARE Operations Manual 6010.59-M, April 1, 2015 Revision: C-24, May 18, 2018 Foreword Chapter 1 - Administration Chapter 2 - Transitions Chapter 3 - Financial Administration Chapter 4 - Provider Certification And Credentialing Chapter 5 - Provider Networks Chapter 6 - Enrollment Chapter 7 - Medical Management (MM), Utilization Management (UM), And Quality Management (QM) Chapter 8 - Claims Processing Procedures Chapter 9 - Records Management (RM) Chapter 10 - Claims Adjustments And Recoupments Chapter 11 - Communications and Customer Service (C&CS) Chapter 12 - Appeals And Hearings Chapter 13 - Program Integrity Chapter 14 - Reports Chapter 15 - TRICARE Regional Offices (TROs)/Military Treatment Facility (MTF)/Enhanced Multi-Service Market (eMSM) and Contractor Interfaces Chapter 16 - TRICARE Prime Remote (TPR) Program Chapter 17 - Supplemental Health Care Program (SHCP) Chapter 18 - Demonstrations And Pilot Projects (Except Value-Based Initiatives) Chapter 19 - Health Insurance Portability and Accountability Act (HIPAA) of 1996 Chapter 20 - TRICARE Dual Eligible Fiscal Intermediary Contract (TDEFIC) Chapter 21 - TRICARE Alaska Chapter 22 - Reserve Component Health Coverage Plans Chapter 23 - TRICARE Pharmacy (TPharm) Chapter 24 - TRICARE Overseas Program (TOP) Chapter 25 - TRICARE Young Adult (TYA) Chapter 26 - Continued Health Care Benefit Program (CHCBP) Chapter 27 - Prime Service Area (PSA) Reduction Policies And Effective Dates Chapter 28 - Prescription Monitoring Program (PMP) Chapter 29 - Value-Based Programs (VBPs), Pilots, And Demonstrations Appendix A - Definitions