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TRICARE Systems Manual 7950.3-M, April 1, 2015
TRICARE Encounter Data (TED)
Chapter 2
Addendum L
Data Requirements - Health Care Delivery Program (HCDP) Plan Coverage Code Values
Revision:  C-19, September 14, 2018
Valid Value
description
Effective Date
Termination Date
000
No health care coverage plan (transfer records only)
00/00/0000
99/99/9999
001
TRICARE Prime for Active Duty Sponsors, no PCM Assigned
00/00/0000
99/99/9999
002
Direct Care for Active Duty Family Members
00/00/0000
99/99/9999
003
TRICARE Standard for Active Duty Family Members
00/00/0000
12/31/2017
004
Direct Care for Survivors of Active Duty Deceased Sponsors
00/00/0000
99/99/9999
005
TRICARE Standard for Survivors of Active Duty Deceased Sponsors
00/00/0000
12/31/2017
006
Direct Care for Transitional Assistance Family Members
00/00/0000
99/99/9999
007
TRICARE Standard for Transitional Assistance Sponsors and Family Members
00/00/0000
12/31/2017
008
Direct Care for Retired Sponsors and Family Members
00/00/0000
99/99/9999
009
TRICARE Standard for Retired and Medal of Honor Sponsors and Family Members
00/00/0000
12/31/2017
010
TRICARE Standard for Transitional Survivors of Active Duty Deceased Sponsors
00/00/0000
12/31/2017
011
Reimbursable Direct Care for DoD Affiliates (CONUS Only)
00/00/0000
99/99/9999
012
Reimbursable Civilian Coverage for DoD Affiliates (CONUS Only)
00/00/0000
99/99/9999
013
Reimbursable Direct Care for DoD Affiliates (OCONUS Only)
00/00/0000
99/99/9999
014
Direct Care for Transitional Survivors of Active Duty Deceased Sponsors
00/00/0000
99/99/9999
015
TRICARE Standard for Transitional Survivors of Guard/Reserve Deceased Sponsors
00/00/0000
12/31/2017
016
Direct Care for Survivors of Guard/Reserve Deceased Sponsors
00/00/0000
99/99/9999
017
TRICARE Standard for Survivors of Guard/Reserve Deceased Sponsors
00/00/0000
12/31/2017
018
TRICARE for Life for Retired Sponsors and Family Members and Medal of Honor
00/00/0000
99/99/9999
019
Limited Direct Care with Line of Duty Injuries for Guard/Reserve Sponsors
00/00/0000
99/99/9999
020
TRICARE for Life for Transitional Survivors of Active Duty Deceased Sponsors
00/00/0000
99/99/9999
021
TRICARE for Life for Survivors of Active Duty Deceased Sponsors
00/00/0000
99/99/9999
022
TRICARE for Life for Transitional Survivors of Guard/Reserve Deceased Sponsors
00/00/0000
12/31/2017
023
TRICARE for Life for Survivors of Guard/Reserve Deceased Sponsors
00/00/0000
99/99/9999
024
Direct Care for Transitional Survivors of Guard/Reserve Deceased Sponsors
00/00/0000
12/31/2017
025
Direct Care Dental For Active Duty Sponsors
00/00/0000
99/99/9999
026
Direct Care Dental For Active Duty Foreign Military
00/00/0000
99/99/9999
027
Direct Care for Early Alert for Guard/Reserve Service Members
00/00/0000
99/99/9999
028
TRICARE Standard for Medically Retired Sponsors and Family Members
00/00/0000
12/31/2017
029
TRICARE for Life for Medically Retired Sponsors and Family Members
00/00/0000
99/99/9999
030
Direct Care for Medically Retired Sponsors and Family Members
00/00/0000
99/99/9999
101
CHAMPUS Reform Initiative (CRI) - CHAMPUS Prime (history)
00/00/0000
12/31/2017
102
Fort Sill - Catchment Area Management (CAM) Program (history)
00/00/0000
12/31/2017
103
Fort Carson – Catchment Area Management (CAM) Program (history)
00/00/0000
12/31/2017
104
Bergstrom Air Force Base (AFB) - Catchment Area Management (CAM) program (history)
00/00/0000
12/31/2017
105
Luke/Williams Air Force base (AFB) - Catchment Area Management (CAM) Program (history)
00/00/0000
12/31/2017
106
TRICARE Prime Individual Coverage for Active Duty Sponsors
00/00/0000
12/31/2017
107
TRICARE Prime Individual Coverage for Active Duty Family Members
00/00/0000
12/31/2017
108
TRICARE Prime Family Coverage for Active Duty Family Members
00/00/0000
12/31/2017
109
TRICARE USFHP Direct Care Coverage for Active Duty Family Members
00/00/0000
12/31/2017
110
TRICARE Prime for Individual Coverage for Survivors of Active Duty Deceased Sponsors
00/00/0000
12/31/2017
111
TRICARE Prime Family Coverage for Survivors of Active Duty Deceased Sponsors
00/00/0000
12/31/2017
112
TRICARE Prime Individual Coverage for Transitional Assistance Sponsors and Family Members
00/00/0000
12/31/2017
113
TRICARE Prime Family Coverage for Transitional Assistance Sponsors and Family Members
00/00/0000
12/31/2017
114
TRICARE USFHP Direct Care Individual Coverage for Survivors of Active Duty Deceased Sponsors
00/00/0000
99/99/9999
115
TRICARE USFHP Direct Care Family Coverage for Survivors of Active Duty Deceased Sponsors
00/00/0000
12/31/2017
116
TRICARE Prime Individual Coverage for Retired and Medal of Honor Sponsors and Family Members
00/00/0000
12/31/2017
117
TRICARE Prime Family Coverage for Retired and Medal of Honor Sponsors and Family Members
00/00/0000
12/31/2017
118
TRICARE USFHP Direct Care Individual Coverage for Retired Sponsors and Family Members
00/00/0000
12/31/2017
119
TRICARE USFHP Direct Care Family Coverage for Retired Sponsors and Family Members
00/00/0000
12/31/2017
120
TRICARE Senior Prime Individual Coverage for Retired Sponsors and Family Members
00/00/0000
12/31/2017
121
Continued Health Care Benefits Program Individual Coverage
00/00/0000
99/99/9999
122
Continued Health Care Benefits Program Family Coverage
00/00/0000
99/99/9999
123
Federal Employees Health Benefits Program (FEHBP) Individual Standard Coverage
00/00/0000
12/31/2017
124
Federal Employees Health Benefits Program (FEHBP) Family Standard Coverage
00/00/0000
12/31/2017
125
Federal Employees Health Benefits Program (FEHBP) Individual High Coverage
00/00/0000
12/31/2017
126
Federal Employees Health Benefits Program (FEHBP) Family High Coverage
00/00/0000
12/31/2017
127
TRICARE Senior Supplement
00/00/0000
12/31/2017
128
TRICARE Remote Individual Coverage for Active Duty Sponsors
00/00/0000
12/31/2017
129
TRICARE Remote Individual Coverage for Active Duty Family Members
00/00/0000
12/31/2017
130
TRICARE Remote Family Coverage for Active Duty Family Members
00/00/0000
12/31/2017
131
TRICARE Prime Individual Coverage for Transitional Survivors of Active Duty Deceased Sponsors
00/00/0000
12/31/2017
132
TRICARE Prime Family Coverage for Transitional Survivors of Active Duty Deceased Sponsors
00/00/0000
12/31/2017
133
TRICARE USFHP Direct Care Coverage for Transitional Survivors of Active Duty Deceased Sponsors
00/00/0000
12/31/2017
134
TRICARE Prime Individual Coverage for Transitional Survivors of Guard/Reserve Deceased Sponsors
00/00/0000
99/99/9999
135
TRICARE Prime Family Coverage for Transitional Survivors of Guard/Reserve Deceased Sponsors
00/00/0000
99/99/9999
136
TRICARE Prime Individual Coverage for Survivors of Guard/Reserve Deceased Sponsors
00/00/0000
12/31/2017
137
TRICARE Prime Family Coverage for Survivors of Guard/Reserve Deceased Sponsors
00/00/0000
12/31/2017
138
TRICARE USFHP Direct Care Individual Coverage for Survivors of Guard/Reserve Deceased Sponsors
00/00/0000
12/31/2017
139
TRICARE USFHP Direct Care Family Coverage for Survivors of Guard/Reserve Deceased Sponsors
00/00/0000
12/31/2017
140
TRICARE Plus with CHC Coverage for Active Duty Family Members
00/00/0000
12/31/2017
141
TRICARE Plus Coverage for Transitional Survivors of Active Duty Deceased Sponsors
00/00/0000
12/31/2017
142
TRICARE Plus with CHC Coverage for Transitional Survivors of Active Duty Deceased Sponsors
00/00/0000
12/31/2017
143
TRICARE Plus Coverage for Survivors of Active Duty Deceased Sponsors
00/00/0000
12/31/2017
144
TRICARE Plus with CHC Coverage for Survivors of Active Duty Deceased Sponsors
00/00/0000
12/31/2017
145
TRICARE Plus Coverage for Retired Sponsors, Family Members and Medal of Honor
00/00/0000
12/31/2017
146
TRICARE Plus with CHC Coverage for Retired Sponsors, Family Members and Medal of Honor
00/00/0000
12/31/2017
147
TRICARE Plus with CHC Coverage for Transitional Survivors of Guard/Reserve Deceased Sponsors
00/00/0000
12/31/2017
148
TRICARE Plus Coverage for Survivors of Guard/Reserve Deceased Sponsors
00/00/0000
12/31/2017
149
TRICARE Plus Coverage with CHC for Survivors of Guard/Reserve Deceased Sponsors
00/00/0000
12/31/2017
150
TRICARE Plus Coverage for Active Duty Family Members
00/00/0000
12/31/2017
151
TRICARE Plus Coverage for Transitional Survivors of Guard/Reserve Deceased Sponsors
00/00/0000
12/31/2017
152
TRICARE Overseas Prime Individual Coverage for Active Duty Sponsors
00/00/0000
12/31/2017
153
TRICARE Overseas Prime Individual Coverage for Active Duty Family Members
00/00/0000
12/31/2017
154
TRICARE Overseas Prime Family Coverage for Active Duty Family Members
00/00/0000
12/31/2017
155
TRICARE Global Remote Overseas Prime Individual Coverage for Active Duty Sponsors
00/00/0000
12/31/2017
156
TRICARE Global Remote Overseas Prime Individual Coverage for Active Duty Family Members
00/00/0000
12/31/2017
157
TRICARE Global Remote Overseas Prime Family Coverage for Active Duty Family Members
00/00/0000
12/31/2017
158
TRICARE Remote Individual Coverage for Transitional Survivors of Active Duty Deceased Sponsors
00/00/0000
12/31/2017
159
TRICARE Remote Family Coverage for Transitional Survivors of Active Duty Deceased Sponsors
00/00/0000
12/31/2017
160
TRICARE Prime Individual Coverage for Medically Retired Sponsors and Family Members
00/00/0000
12/31/2017
161
TRICARE Prime Family Coverage for Medically Retired Sponsors and Family Members
00/00/0000
12/31/2017
201
TRICARE Dental Plan Individual Coverage for Active Duty Family Members
00/00/0000
99/99/9999
202
TRICARE Dental Plan Family Coverage for Active Duty Family Members
00/00/0000
99/99/9999
203
TRICARE Dental Plan Individual Remote Coverage for Active Duty Family Members
00/00/0000
99/99/9999
204
TRICARE Dental Plan Family Remote Coverage for Active Duty Family Members
00/00/0000
99/99/9999
205
TRICARE Dental Plan Individual Coverage for Survivors of Active Duty Deceased Sponsors
00/00/0000
99/99/9999
206
TRICARE Dental Plan Family Coverage for Survivors of Active Duty Deceased Sponsors
00/00/0000
99/99/9999
207
TRICARE Dental Plan Individual Coverage for Selected Reserve (SelRes) Sponsors
00/00/0000
99/99/9999
208
TRICARE Dental Plan Individual Coverage for Selected Reserve (SelRes) Family Members
00/00/0000
99/99/9999
209
TRICARE Dental Plan family coverage for Selected Reserve (SelRes) family members
00/00/0000
99/99/9999
210
TRICARE Dental Plan Individual Remote Coverage for Selected Reserve (SelRes) Family Members
00/00/0000
99/99/9999
211
TRICARE Dental Plan Family Remote Coverage for Selected Reserve (SelRes) Family Members
00/00/0000
99/99/9999
212
TRICARE Dental Plan Individual Coverage for Survivors of Selected Reserve (SelRes) Deceased Sponsors
00/00/0000
99/99/9999
213
TRICARE Dental Plan Family Coverage for Survivors of Selected Reserve (SelRes) Deceased Sponsors
00/00/0000
99/99/9999
214
TRICARE Dental Plan Individual Coverage for Active Guard/Reserve (AGR) Family Members
00/00/0000
99/99/9999
215
TRICARE Dental Plan Family Coverage for Active Guard/Reserve (AGR) Family Members
00/00/0000
99/99/9999
216
TRICARE Dental Plan Individual Remote Coverage for Active Guard/Reserve (AGR) Family Members
00/00/0000
99/99/9999
217
TRICARE Dental Plan Family Remote Coverage for Active Guard/Reserve (AGR) Family Members
00/00/0000
99/99/9999
218
TRICARE Dental Plan Individual Coverage for Survivors of Active Guard/Reserve (AGR) Family Members
00/00/0000
99/99/9999
219
TRICARE Dental Plan Family Coverage for Survivors of Active Guard/Reserve (AGR) Family Members
00/00/0000
99/99/9999
220
TRICARE Dental Plan for Mobilization-Asset Individual Ready Reserve (IRR) Sponsors
00/00/0000
99/99/9999
221
TRICARE Dental Plan Individual Coverage for Mobilization-Asset Individual Ready Reserve (IRR) Family Member
00/00/0000
99/99/9999
222
TRICARE Dental Plan Family Coverage for Mobilization-Asset Individual Ready Reserve (IRR) Family Members
00/00/0000
99/99/9999
223
TRICARE Dental Plan Individual Remote Coverage for Mobilization-Asset Individual Ready Reserve (IRR) Family Members
00/00/0000
99/99/9999
224
TRICARE Dental Plan Family Remote Coverage for Mobilization-Asset Individual Ready Reserve (IRR) Family Members
00/00/0000
99/99/9999
225
TRICARE Dental Plan Individual Coverage for Survivors of Mobilization-Asset Individual Ready Reserve (IRR) Deceased Sponsors
00/00/0000
99/99/9999
226
TRICARE Dental Plan Family Coverage for Survivors of Mobilization-Asset Individual Ready Reserve (IRR) Deceased Sponsors
00/00/0000
99/99/9999
227
TRICARE Dental Plan for Non-Mobilization-Asset Individual Ready Reserve (IRR) Sponsors
00/00/0000
99/99/9999
228
TRICARE Dental Plan Individual Coverage for Non-Mobilization-Asset Individual Ready Reserve (IRR) Family Members
00/00/0000
99/99/9999
229
TRICARE Dental Plan Family Coverage for Non-Mobilization-Asset Individual Ready Reserve (IRR) Family Members
00/00/0000
99/99/9999
230
TRICARE Dental Plan Individual Remote Coverage for Non-Mobilization-Asset Individual Ready Reserve (IRR) Family Members
00/00/0000
99/99/9999
231
TRICARE Dental Plan Family Remote Coverage for Non-Mobilization-Asset Individual Ready Reserve (IRR) Family Members
00/00/0000
99/99/9999
301
BRAC Pharmacy
00/00/0000
99/99/9999
302
Pharmacy Redesign Pilot Project (PRPP)
00/00/0000
99/99/9999
303
TRICARE Select-Active Duty Family Members
01/01/2018
99/99/9999
304
TRICARE Select-TAMP Sponsors and Family Members
01/01/2018
99/99/9999
305
TRICARE Select-Retired Sponsors and Family Members
01/01/2018
99/99/9999
306
TRICARE Select-Reserve Select Sponsors and Family Members
01/01/2018
99/99/9999
307
TRICARE Select-Retired Reserve Sponsors and Family Members
01/01/2018
99/99/9999
308
TRICARE Select-Young Adult
01/01/2018
99/99/9999
310
TRICARE Prime-Active Duty Sponsors
01/01/2018
99/99/9999
311
TRICARE Prime-Active Duty Family Members
01/01/2018
99/99/9999
312
TRICARE Prime Remote-Active Duty Sponsors
01/01/2018
99/99/9999
313
TRICARE Prime Remote-Active Duty Family Members
01/01/2018
99/99/9999
314
TRICARE Prime-TAMP Sponsors and Family Members
01/01/2018
99/99/9999
315
TRICARE Prime-Retired Sponsors and Family Members
01/01/2018
99/99/9999
316
USFHP Prime Sponsors and Family Members (Presentation Only)
01/01/2018
99/99/9999
330
TRICARE Prime-Young Adult Active Duty/TAMP
01/01/2018
99/99/9999
331
TRICARE Prime-Young Adult Retired
01/01/2018
99/99/9999
332
TRICARE Prime Remote-Young Adult Active Duty
01/01/2018
99/99/9999
345
TRICARE Plus-With Direct Care Only
01/01/2018
99/99/9999
346
TRICARE Plus-With TRICARE For Life
01/01/2018
99/99/9999
347
TRICARE Plus-With Active Duty Select
01/01/2018
99/99/9999
348
TRICARE Plus-With Retired Select
01/01/2018
99/99/9999
400
TRICARE Extended Care Health Option (ECHO) Program
00/00/0000
99/99/9999
401
TRICARE Reserve Select Tier 1 Member-Only Coverage (Contingency Operations)
00/00/0000
12/31/2017
402
TRICARE Reserve Select Tier 1 Member and Family Coverage (Contingency Operations)
00/00/0000
12/31/2017
403
Tobacco Cessation Demonstration Program
00/00/0000
12/31/2017
404
Weight Management Demonstration Program
00/00/0000
12/31/2017
405
TRICARE Reserve Select Tier 2 Member-Only Coverage (Certified Qualifications)
00/00/0000
12/31/2017
406
TRICARE Reserve Select Tier 2 Member and Family Coverage (Certified Qualifications)
00/00/0000
12/31/2017
407
TRICARE Reserve Select Tier 3 Member-Only Coverage (Service Agreement)
00/00/0000
12/31/2017
408
TRICARE Reserve Select Tier 3 Member and Family Coverage (Service Agreement)
00/00/0000
12/31/2017
409
TRICARE Reserve Select Survivor Continuing with Individual Coverage
00/00/0000
12/31/2017
410
TRICARE Reserve Select Survivor Continuing with Family Coverage
00/00/0000
12/31/2017
411
TRICARE Reserve Select Survivor New Individual Coverage
00/00/0000
12/31/2017
412
TRICARE Reserve Select Survivor New Family Coverage
00/00/0000
12/31/2017
413
TRICARE Reserve Select Member-Only Coverage
00/00/0000
12/31/2017
414
TRICARE Reserve Select Member and Family Coverage
00/00/0000
12/31/2017
415
Wounded, Ill, and Injured (e.g., Warrior Transition/MEDHOLD Unit (WTU))
00/00/0000
99/99/9999
416
Wounded, Ill, and Injured - Community-Based (e.g., Community Care Units (CCUs))
00/00/0000
99/99/9999
417
Transitional Care For Service-Related Conditions (TCSRC)
00/00/0000
99/99/9999
418
TRICARE Retired Reserve Member-Only Coverage
00/00/0000
12/31/2017
419
TRICARE Retired Reserve Member and Family Coverage
00/00/0000
12/31/2017
420
TRICARE Retired Reserve Survivor Individual Coverage
00/00/0000
12/31/2017
421
TRICARE Retired Reserve Survivor Family Coverage
00/00/0000
12/31/2017
422
TRICARE Young Adult TRICARE Standard for Active Duty Family Members
00/00/0000
12/31/2017
423
TRICARE Young Adult TRICARE Standard for Retired and Medal of Honor Family Members
00/00/0000
12/31/2017
424
TRICARE Young Adult TRICARE Reserve Select
00/00/0000
12/31/2017
425
TRICARE Young Adult TRICARE Retired Reserve
00/00/0000
12/31/2017
426
TRICARE Young Adult TRICARE Prime for Active Duty Family Members
00/00/0000
12/31/2017
427
TRICARE Young Adult TRICARE Prime Remote for Active Duty Family Members
00/00/0000
12/31/2017
428
TRICARE Young Adult TRICARE Prime for Retired and Medal of Honor Family Members
00/00/0000
12/31/2017
429
TRICARE Young Adult TRICARE Overseas Prime for Active Duty Family Members
00/00/0000
12/31/2017
430
TRICARE Young Adult TRICARE Overseas Prime Remote for Active Duty Family Members
00/00/0000
12/31/2017
602
Direct Care and TRICARE Mail Order Pharmacy (TMOP) and Retail Pharmacies
00/00/0000
99/99/9999
603
Direct Care Only
00/00/0000
99/99/9999
999
Unverified Newborn
00/00/0000
99/99/9999
- END -
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