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TRICARE Operations Manual 6010.59-M, April 1, 2015
TRICARE Medicare Eligible Program (TMEP)
Chapter 20
Section 16
TRICARE Prime Remote (TPR) Program
Revision:  C-108, May 18, 2022
All TRICARE requirements noted in Chapter 16 regarding TPR do not apply to the TMEP contractor unless specifically changed, waived, or superseded by this section (as indicated below), the TRICARE Policy Manual (TPM), TRICARE Reimbursement Manual (TRM), TRICARE Systems Manual (TSM), or TMEP contract.
1.0  General
The TMEP contractor shall comply with the requirements in Chapter 16, Section 6.
1.1  The TMEP contractor shall process TPR claims in accordance with TRICARE Reimbursement Manual, Chapter 4, Section 4. The TMEP contractor shall perform customer service functions to the same extent as other TMEP beneficiaries.
1.2  The TMEP contractor shall comply with the requirements in Chapter 16, Section 6, paragraphs 13.0, 14.0, and 15.0.
1.3  The requirement in Chapter 16, Section 6, paragraph 13.2 for the contractor to pay network providers at the negotiated rate does not apply.
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