TRICARE Overseas Program Provider Manual
TRICARE Overseas Program Provider Manual
TRICARE Overseas Program Provider Manual
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<strong>TRICARE</strong> overseas <strong>Program</strong><br />
<strong>Provider</strong> <strong>Manual</strong><br />
®<br />
‘PT Resp’ means Patient’s Responsibility.<br />
TOP Prime beneficiaries receive a cashless<br />
service. Therefore, the deductibles and<br />
cost-shares are listed as $0.00.<br />
If any charges are denied,<br />
the denial code will be<br />
listed here.<br />
This is the total amount<br />
International SOS will<br />
reimburse.<br />
These are the dates of<br />
the ‘Episodes of Care’ as<br />
indicated on the invoice.<br />
These are the costs for<br />
the treatments the<br />
patient received.<br />
This is the total amount<br />
International SOS will<br />
reimburse.<br />
These are the CPT<br />
procedure codes.<br />
International SOS will<br />
translate the treatment<br />
details from the invoice<br />
into CPT codes.<br />
These are the costs that are allowed<br />
under the beneficiary’s <strong>TRICARE</strong><br />
policy. If any payments are denied, a<br />
denial code will be indicated. An<br />
explanation of the code is given on the<br />
last page of the EOB.<br />
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