HIGHRegulatoryTier 1

Privacy Act of 1974; Matching Program

SourceFederal Register (dental)Tier 1Hard News

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

DoD's new data-matching program with Treasury's Do Not Pay list will flag and block improper TRICARE payments; dental practices that bill TRICARE must verify patient eligibility and payment status in real time to avoid claim denials or recoupments.

Key points

  • Defense Health Agency will run its Military Health Benefits system against Treasury's Do Not Pay Working System under the Payment Integrity Information Act of 2019.
  • Program aims to identify and prevent improper payments in the TRICARE program.
  • Dental providers treating active-duty, retiree, and dependent beneficiaries may see increased pre-payment checks or post-payment audits.
  • No specific implementation date is stated in the notice.

Who should care

OwnerStaff

Read the original on Federal Register (dental)

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