Back to Top Skip to main content the official website of the Military Health System (MHS) and the Defense Health Agency (DHA)

Utility Navigation Links

TRICARE Operations Manual 6010.62-M, April 2021
TRICARE Medicare Eligible Program (TMEP)
Chapter 20
Section 3
Financial Administration
All TRICARE requirements regarding financial administration shall apply to the TMEP unless specifically changed, waived, or superseded by this section or the TRICARE Policy Manual (TPM), TRICARE Reimbursement Manual (TRM), TRICARE Systems Manual (TSM), or TMEP contract.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 provisions of Chapter 3, Section 1 apply to TMEP.
1.2  TMEP shall follow the Financial Administration non-financially underwritten funds requirements in Chapter 3.
2.0  Payments to Beneficiaries/Providers
2.1  The provisions of Chapter 3, Section 2 apply to TMEP. Chapter 3, Section 2, paragraphs 2.0 through 2.1.3 are superseded as described in paragraphs 2.2 and 2.3.
2.2  The TMEP shall follow the contract requirements regarding provider Electronic Funds Transfer (EFT). Payments may be made by EFT to beneficiaries.
2.3  Non-underwritten EFTs shall be done within two federal business days after receiving payment approval from DHA. Rejected EFTs may be made as checks. If payment cannot be accomplished as a check or EFT, an adjustment/cancellation TRICARE Encounter Data (TED) record shall be submitted within five business days or rejection of an EFT.
3.0  Claim Refund And Collection Procedures
The provisions of Chapter 3, Section 3 apply to TMEP, except for paragraphs 2.1 through
4.0  Stale Dated, Voided, Or Returned Checks
The provisions of Chapter 3, Section 4 apply to TMEP.
- END -

Utility Navigation Links

DoD Seal is the official website of the Defense Health Agency (DHA) a component of the Military Health System

TRICARE is a registered trademark of the Department of Defense (DoD), DHA. All rights reserved.

CPT only © 2006 American Medical Association (or such other date of publication of CPT). All Rights Reserved.

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 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.


DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.