Skip to main content

Military Health System

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TRICARE requirements regarding financial administration shall apply to the TMEP unless specifically changed, waived, or superseded by this section or the TRICARE Policy Manual (TPM), TRICARE Reimbursement Manual (TRM), TRICARE Systems Manual (TSM), or TMEP contract.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 Chapter 3, Section 2, paragraphs 2.0 through 2.1.3 are superseded as described in paragraphs 2.2 and 2.3.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 -
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on Twitter Follow us on YouTube Sign up on GovDelivery