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TRICARE Policy Manual 6010.63-M, April 2021
Providers
Chapter 11
Section 4.2
Unauthorized Provider: Emergency Services
Issue Date:  May 7, 1999
Authority:  32 CFR 199.6(a)(1)
Revision:  
1.0  POLICY
After review of the facts, the contractor may cost-share otherwise covered services or supplies rendered in an emergency situation by an unauthorized provider (institution, individual, or other types of providers) to the beneficiary, or on behalf of the beneficiary, to the beneficiary’s appointed payee, guardian, or parent. Refer to TRICARE Reimbursement Manual (TRM), Chapter 1, Section 29, for reimbursement.
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