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unless specifically changed, waived, or superseded by this section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
1.2 The TMEP contractor
shall comply with the Financial Administration non-financially underwritten
funds requirements in Chapter
3.
2.0
Payments
To Beneficiaries/Providers
2.2 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.
4.0
Stale Dated,
Voided, Or Returned ChecksThe TMEP contractor
shall comply with the requirements in Chapter 3, Section 4.
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