scope:

PURPOSE

The purpose of the Military Treatment Facility Uniform Business Office Manual ("UBO Manual") is to provide standardized guidance for the business office portions of the revenue cycle function at Military Treatment Facilities (MTFs).

This Manual outlines policies and procedural business practices for Uniform Services MTF Medical Services Account (MSA), Third Party Collection (TPC), and Medical Affirmative Claims (MAC) activities.

MSA activities involve the primary-payer billing of individuals and other Government Agencies for services rendered in MTFs.

TPC activities involve billing third-party payers on behalf of beneficiaries, excluding active duty, for treatment provided by or through MTFs.

MAC activities involve billing all areas of liability insurance, such as automobile, products, premises and general casualty, homeowner's, renter's, medical malpractice (by civilian providers), and workers' compensation (other than Federal employees). MAC includes active duty.

Additional policy guidance can be found in the Compliance Binder on the TRICARE Management Activity (TMA) web site.