TRICARE; TRICARE Sanction Authority for Third-Party Billing Agents
personnel · US Department of Defense · Rule · Published 2013-02-26 · Effective 2013-03-28 · 78 FR 12953
Document
Document number
2013-03416
Federal Register citation
78 FR 12953
CFR reference
32 CFR 199
Type
Rule
Action
Final rule.
Category
personnel
Sub-agency
US Department of Defense
Publication date
2013-02-26
Effective date
2013-03-28
DOD docket
Docket ID: DOD-2011-HA-0035
Abstract
This final rule will provide the Director, TRICARE Management Activity (TMA), or designee, with the authority to sanction third-party billing agents by invoking the administrative remedy of exclusion or suspension from the TRICARE program. Such sanctions may be invoked in situations involving fraud or abuse on the part of third-party billing agents that prepare or submit claims presented to TRICARE for payment.