CRITICALRegulatoryTier 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 TRICARE matching program will flag improper payments and could delay or deny claims for dental providers who treat military beneficiaries, raising cash-flow risk for practices that rely on TRICARE reimbursement.

Key points

  • DoD is establishing a new computer matching program that will compare TRICARE East Region records with Treasury's Do Not Pay Working System.
  • The matching program is created under the Payment Integrity Information Act of 2019 to identify and prevent improper payments.
  • Defense Health Agency (DHA) is the DoD component implementing the matching program for the TRICARE East Region.
  • The Federal Register notice published alerts providers that TRICARE East dental claims may be screened against the DNP list before payment.

Who should care

OwnerStaff

Read the original on Federal Register (dental)

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