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TRICARE Reimbursement Manual 6010.64-M, April 2021
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.
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