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TRICARE Operations Manual 6010.59-M, April 1, 2015
TRICARE Medicare Eligible Program (TMEP)
Chapter 20
Section 3
Financial Administration
Revision:  C-108, May 18, 2022
All TRICARE requirements regarding financial administration shall apply to the TMEP contractor unless specifically changed, waived, or superseded by this section or the TRICARE Policy Manual (TPM), TRICARE Reimbursement Manual (TRM), TRICARE Systems Manual (TSM), or TMEP contract. See Chapter 3 for additional instructions regarding administration.
1.0  General
1.1  The TMEP contractor shall comply with the requirements in Chapter 3, Section 1.
1.2  The TMEP contractor shall comply with the Financial Administration non-financially underwritten funds requirements in Chapter 3.
2.0  Payments To Beneficiaries/Providers
2.1  The TMEP contractor shall comply with the requirements in Chapter 3, Section 2. Paragraphs 2.0 through 2.2 Electronic Funds Transfer (EFT) are superseded as described in paragraphs 2.2 through 2.3.
2.2  The TMEP contractor shall follow the contract requirements regarding provider EFT. The contractor may make EFT payments to beneficiaries.
2.3  The contractor shall make non-underwritten EFTs within two business days after receiving payment approval from DHA. The contractor may pay rejected EFTs with checks. If payment cannot be accomplished as a check or EFT, the contractor shall submit an adjustment/cancellation TED record within five business days or rejection of an EFT.
3.0  Claim Refund And Collection Procedures
The contractor shall comply with the requirements in Chapter 3, Section 3, except for Chapter 3, Section 3, paragraphs 2.2 through 2.2.3.
4.0  Stale Dated, Voided, Or Returned Checks
The TMEP contractor shall comply with the requirements in Chapter 3, Section 4.
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