Skip to main content

Military Health System

Utility Navigation Links

WEEKEND MAINTENANCE: The maintenance outage is scheduled for June 22nd at 6:00am EST ending NLT Sunday, June 23rd at 11:59pm Eastern EST. The TRICARE Manuals web site may be available intermittently during this period but it's usage is not recommended.

TRICARE Reimbursement Manual 6010.61-M, April 1, 2015
General
Chapter 1
Section 3
Claims Auditing Software
Issue Date:  September 25, 1991
Authority:  32 CFR 199.9(b) and (c)
Revision:  
1.0  POLICY
The contractor shall use a claims auditing software (Claimcheck® or equivalent) to ensure correct coding on all claims. It is the contractor’s responsibility to obtain the materials necessary to use the software, including any updates. Claims processed under the Outpatient Prospective Payment System (OPPS) are not subject to this software.
- 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