Patient Administration - Army Publishing Directorate - U.S. Army

Contents—Continued
Chapter 13
Injury and Illness Cases-Medical Affirmative Claims, page 81
General 13–1, page 81
Interface and support 13–2, page 82
Notification procedures 13–3, page 82
Absent sick active duty personnel 13–4, page 83
Medical records 13–5, page 83
Medical claim forms 13–6, page 83
Concurrent medical affirmative claims and Third Party Collection Program health insurance claims 13–7, page 85
Civilian care furnished Family members and retirees in the United States, Puerto Rico, Canada, and Mexico 13–8,
page 85
Civilian care furnished Family members and retirees in the European command 13–9, page 85
Civilian care furnished Family members and retirees in areas other than the United States, Puerto Rico, Canada,
Mexico, and in the European command 13–10, page 85
Claims for reimbursement for civilian care 13–11, page 85
Care in medical treatment facilities of a foreign government 13–12, page 85
Chapter 14
Third Party Collection Program, page 86
Policy 14–1, page 86
Health care plans not subject to the Third Party Collection Program 14–2, page 86
Medical services billed 14–3, page 86
Medical services not billed 14–4, page 86
Identification of beneficiaries who have other health insurance 14–5, page 86
Mandatory compliance by health insurance carriers 14–6, page 87
Authorization to release medical information in support of the Third Party Collection Program 14–7, page 87
Claims activities 14–8, page 87
Collection activities 14–9, page 88
Minimum internal controls 14–10, page 88
Third Party Collection Program reports 14–11, page 89
Disposition of claims files 14–12, page 89
Chapter 15
Patient Administration Systems and Biostatistics Activity, page 89
Authority 15–1, page 89
Standard Inpatient Data Record/Standard Ambulatory Data Record 15–2, page 89
Data system studies 15–3, page 90
Abortion Statistics Report (RCS MED-363) 15–4, page 90
Diagnostic and operative indices 15–5, page 90
Workload report 15–6, page 90
Patient Accounting and Reporting Realtime Tracking System/Joint Patient Tracking Application 15–7, page 90
Patient administration contingency operations 15–8, page 90
The Army Central Registry 15–9, page 91
Appendixes
A. References, page 92
B. Persons authorized care at Army military treatment facilities, page 101
C. Management control evaluation checklists, page 116
Table List
Table 2–1: Supplemental care payment responsibilities: Payment for civilian outpatient care, including diagnostic test
and procedures, ordered by an MTF provider, page 6
Table 2–2: Supplemental care payment responsibilities: Payment for care when a beneficiary is admitted to a civilian
facility, page 6
AR 40–400 27 January 2010
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