Privacy Act of 1974; Matching Program
By Defense Department,
Originally at federalregister.gov
Summary & scoring by The Bell Brief (Dr. Jennifer Bell) using the Drill-Down Protocol (Drill-Down Score) — not the original publisher.
Why it matters for dental
TRICARE dental providers and DSOs billing TPharm claims face new automated payment-integrity checks that will compare their pharmacy and benefit data against the federal Do Not Pay list to detect and stop improper payments.
Key points
- DoD and its Defense Health Agency are establishing a new computer-matching program under the Privacy Act of 1974 and Payment Integrity Information Act of 2019.
- The matching program compares TPharm system records with Treasury's Do Not Pay Working System to identify improper payments.
- TRICARE dental providers submitting pharmacy claims under the TPharm program are subject to these payment-integrity checks.
- The program is announced in the Federal Register on, with no stated effective date.
Who should care
Read the original on Federal Register (dental)
Full reporting and any paywall content live on federalregister.gov. We summarize and score; we do not republish.
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