Medical Insurance Specialist at Military Treatment Facility

Reference no: EM133699037

Question

You've just started a job as a Medical Insurance Specialist at a Military Treatment Facility (MTF). Most patients seeking care and/or treatment are active duty military, retired veterans, as well as surviving spouses and children of military personnel killed in the line of duty. The primary focus of your job is to ensure medical claims are correctly filed with the appropriate Tricare insurance plan.

1. Explain one way you would determine which Tricare plan to bill for different patients.

2. Describe a scenario where a patient would be eligible for the Tricare for Life plan.

3. If an active duty service member is injured on the job, who would you bill? Explain why.

Reference no: EM133699037

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