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2006 Patient Administraion Training Symposium 17-21 July 2006 Enrollment

2006 Patient Administraion Training Symposium 17-21 July 2006 Enrollment Bureau of Medicine and Surgery TRICARE Operations (M312) CDR Geralyn A. Haradon, MSC, USN 202-762-3774 gaharadon@us.med.navy.mil. Topics Enrollment Split Enrollment Enrollment Information on the LES

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2006 Patient Administraion Training Symposium 17-21 July 2006 Enrollment

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  1. 2006 Patient Administraion Training Symposium 17-21 July 2006 Enrollment Bureau of Medicine and Surgery TRICARE Operations (M312) CDR Geralyn A. Haradon, MSC, USN 202-762-3774 gaharadon@us.med.navy.mil

  2. Topics • Enrollment • Split Enrollment • Enrollment Information on the LES • Misenrolled Beneficiaries • ADSM Enrollment

  3. Split Enrollment • Situation where different members of the same family • are enrolled with different TRICARE contractors. • Each contractor maintains and tracks enrollment fees, • co-payments, and other TRICARE enrollee information • for the family members enrolled in its own area.

  4. Enrollment Information on the LES • Transfer Language on the LES • “ Update your TRICARE Enrollment when your PCS” • Content change quarterly

  5. Mis-enrolled Beneficiaries • Beneficiaries enrolled in one region but lives, works and receives care in another region • Takes away capacity from the region they are enrolled and not reflecting PCM assignment were they are receiving care

  6. ADSM Enrollment • Upon arrival at a new duty station to complete ADSM enrollment into a TRICARE Prime plan without having the ADSM complete an enrollment form • Identify a standardized, repeatable process that occurs at the new duty station provides the same data elements as the enrollment form • DMDC has existing data use agreements with DFAS, which could potentially clear the way for data transfers • Pilot Project

  7. Summary Enrollment is the key to seemless, consistent, efficient, hassle free healthcare.

  8. Health Net TriWest HUMANA

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