The Code of Federal Regulations of the United States of AmericaU.S. Government Printing Office, 1998 - Administrative law The Code of Federal Regulations is the codification of the general and permanent rules published in the Federal Register by the executive departments and agencies of the Federal Government. |
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Page 42
... claims processing services , studies and research , supplies , equipment , an other services necessary to carry out the CHAMPUS programs . ( 6 ) Monitor claims adjudication and processing contracts to ensure that CHAMPUS fiscal ...
... claims processing services , studies and research , supplies , equipment , an other services necessary to carry out the CHAMPUS programs . ( 6 ) Monitor claims adjudication and processing contracts to ensure that CHAMPUS fiscal ...
Page 43
... claims against CHAMPUS and adjudicate the claims under this part and in accordance with administrative procedures and instruc- tions prescribed in their contracts . The funds expended for CHAMPUS benefits are federal funds provided ...
... claims against CHAMPUS and adjudicate the claims under this part and in accordance with administrative procedures and instruc- tions prescribed in their contracts . The funds expended for CHAMPUS benefits are federal funds provided ...
Page 44
... claims forms . The Di- rector , OCHAMPUS , or a designee , is responsible for the development and updating of all CHAMPUS claim forms and any other forms necessary in the administration of CHAMPUS . ( 1 ) The CHAMPUS handbook . The Di ...
... claims forms . The Di- rector , OCHAMPUS , or a designee , is responsible for the development and updating of all CHAMPUS claim forms and any other forms necessary in the administration of CHAMPUS . ( 1 ) The CHAMPUS handbook . The Di ...
Page 50
claim on a participating basis on be- half of the beneficiary , amounts above the CHAMPUS - determined allowable cost or ... claims and the per- formance of related support activities . CHAMPUS Health Benefits Advisors ( HBAs ) . Those ...
claim on a participating basis on be- half of the beneficiary , amounts above the CHAMPUS - determined allowable cost or ... claims and the per- formance of related support activities . CHAMPUS Health Benefits Advisors ( HBAs ) . Those ...
Page 55
... claim is filed , the person re- sponsible for the claim had the req- uisite knowledge . This presumption is rebuttable only by substantial evi- dence . It is further presumed that the provider of the services is responsible for the ...
... claim is filed , the person re- sponsible for the claim had the req- uisite knowledge . This presumption is rebuttable only by substantial evi- dence . It is further presumed that the provider of the services is responsible for the ...
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Common terms and phrases
action active duty members administrative agency agreement amount ance appeal applicable appropriate approved authorized cation certified CHAMPUS beneficiaries CHAMPUS benefits charge cial civilian clinical cluding contract contractor cost cost-sharing coverage credit union Dental Plan Department of Defense designee determination Director documents DoD Component DoD Directive DoD UCNI durable medical equipment eligible enrollment established facility Federal fense ficiary fiscal funds gram hospice care hospital implementation individual inpatient installation institution issued licensing Medicare ment Military Departments NORAD operations paragraph partial hospitalization participation party patient person personnel PFPWD physician procedures purpose pursuant quired records regulations reimbursement request responsible Secretary of Defense sion specific sponsor Stars and Stripes submitted termination thorized tion tive treatment TRICARE U.S. Army U.S. Government Uniformed Services United United States Code
Popular passages
Page 628 - Federal law or in connection with the transaction of public business and preserved or appropriate for preservation by that agency or its legitimate successor as evidence of the organization, functions, policies, decisions, procedures, operations, or other...
Page 622 - Although relevant, evidence may be excluded if its probative value is substantially outweighed by the danger of unfair prejudice, confusion of the issues, or misleading the jury, or by considerations of undue dela'y, waste of time, or needless presentation of cumulative evidence.
Page 66 - veteran" means a person who served in the active military, naval, or air service, and who was discharged or released therefrom under conditions other than dishonorable.
Page 131 - Diagnostic and Statistical Manual of Mental Disorders" published by the American Psychiatric Association is a PFPWD qualifying condition.
Page 13 - ... submission to or rejection of such conduct by an individual is used as the basis for employment decisions affecting...
Page 63 - In the context of health experience, an impairment is any loss or abnormality of psychological, physiological, or anatomical structure or function. Disability. In the context of health experience, a disability is any restriction or lack (resulting from an impairment) of ability to perform an activity in the manner or within the range considered normal for a human being.
Page 535 - Directive applies to the Office of the Secretary of Defense, the Military Departments, the Organization of the Joint Chiefs of Staff, the Unified and Specified Commands, and the Defense Agencies (hereafter referred to as "DoD Components").
Page 166 - Has at least a master's degree in social work from a graduate school of social work accredited by the Council on Social Work Education...
Page 32 - Even in the absence of such prior discrimination, a recipient in administering a program may take affirmative action to overcome the effects of conditions which resulted in limiting participation by persons of a particular race, color, or national origin.
Page 483 - ... participation in a civil action or proceeding, an action in a foreign court or international tribunal, or an arbitration, or the initiation, conduct, or disposition by the...