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TRICARE Systems Manual 7950.4-M, April 2021
Chap 2
TRICARE Encounter Data (TED)
Revision: C-0, Dec 5, 2022
Section/Addendum  Subject/Addendum Title
1.1
Data Reporting - TRICARE Encounter Data (TED) Record Submission
1.2
Data Reporting - Provider File Record Submisstion
2.1
Data Requirements - Overview
2.2
Data Requirements - Data Element Layout
2.3
Data Requirements - Header Record Data
2.4
Data Requirements - Institutional/Non-Institutional Record Data Elements (A - D)
2.5
Data Requirements - Institutional/Non-Institutional Record Data Elements (E - L)
2.6
Data Requirements - Institutional/Non-Institutional Record Data Elements (M - O)
2.7
Data Requirements - Institutional/Non-Institutional Record Data Elements (P)
2.8
Data Requirements - Institutional/Non-Institutional Record Data Elements (Q - S)
2.9
Data Requirements - Institutional/Non-Institutional Record Data Elements (T - Z)
2.10
Data Requirements - Provider Record Data
3.1
General Edit Requirements - Overview
4.1
Header Edit Requirements (ELN 000 - 099)
5.1
Institutional Edit Requirements (ELN 000 - 099)
5.2
Institutional Edit Requirements (ELN 100 - 199)
5.3
Institutional Edit Requirements (ELN 200 - 299)
5.4
Institutional Edit Requirements (ELN 300 - 399)
5.5
Institutional Edit Requirements (ELN 400 - 499)
6.1
Non-Institutional Edit Requirements (ELN 000 - 099)
6.2
Non-Institutional Edit Requirements (ELN 100 - 199)
6.3
Non-Institutional Edit Requirements (ELN 200 - 299)
6.4
Non-Institutional Edit Requirements (ELN 300 - 399)
7.1
Provider Edit Requirements (ELN 000 - 099)
7.2
Provider Edit Requirements (ELN 100 - 199)
8.1
Financial Edit Requirements
A
Data Requirements - Country And/Or Islands Codes
B
Data Requirements - State Codes
C
Data Requirements - Provider’s Major Specialty Codes
D
Data Requirements - Type Of Institution Codes
E
Data Requirements - Other Special Procedure Codes
F
Data Requirements - Place Of Service/Type Of Service Allowable Relationships
G
Data Requirements - Adjustment/Denial Reason Codes
H
Data Requirements - Revenue Codes
I
Data Requirements - Contract Area Of Responsibility
J
Data Requirements - Pay Plan Code Valid Values
K
Data Requirements - Dependent Elements And Values For Rank Code, Sponsor Pay Category
L
Data Requirements - Health Care Delivery Program (HCDP) Plan Coverage Code Values
M
Data Requirements - Default Values For Complete Claims Denials
N
UB-04/UB-92 Conversion Table - To Be Used For Reporting Non-Institutional TRICARE Encounter Data (TED) Records
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