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This manual outlines the reimbursement processes for surgical procedures performed in Ambulatory Surgical Centers before and after February 1, 2007, under TRI CARE.
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Tricare Reimbursement Manual 601055-M provides guidelines and procedures for resolving payments for healthcare services provided under the Tricare program.
Providers of healthcare services to Tricare beneficiaries are required to file using the TRICARE Reimbursement Manual 601055-M.
To fill out the TRICARE Reimbursement Manual 601055-M, healthcare providers must complete the designated forms specifying the services provided, patient information, and necessary documentation to support the reimbursement claim.
The purpose of the TRICARE Reimbursement Manual 601055-M is to establish a standardized process for submitting and processing claims for reimbursement for healthcare services provided to eligible beneficiaries.
Information that must be reported includes patient details, service dates, procedure codes, and any supporting documentation that validates the claim.
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