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Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
2026-07-06 09:52:37 -04:00

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LegalText 10 U.S.C. § 1095b TRICARE program: contractor payment of certain claims us united_states_code code_section 10 ARMED FORCES 55 MEDICAL AND DENTAL CARE 1095b 10 U.S.C. § 1095b current 119-100 2026-06-26 official https://uscode.house.gov/download/releasepoints/us/pl/119/100/xml_usc10@119-100.zip /us/usc/t10/s1095b data/legal/raw/us/code/title-10/usc10.xml 84539700549d41e71c77d3b4e5b883ed08476ab30f9aad74472936651326b06d 06a2679d38355c44f4219c983fdad34009233205d6ba271593a4c1b17a739ec1 c30d689921a3751cce7092d1e4281fcff442cb9cd7f1608009caeb95afbfbef1 2026-07-04 official
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10 U.S.C. § 1095b - TRICARE program: contractor payment of certain claims

Text

(a) Payment of Claims.— (1) The Secretary of Defense may authorize a contractor under the TRICARE program to pay a claim described in paragraph (2) before seeking to recover from a third-party payer the costs incurred by the contractor to provide health care services that are the basis of the claim to a beneficiary under such program.

(2) A claim under this paragraph is a claim—

(A) that is submitted to the contractor by a provider under the TRICARE program for payment for services for health care provided to a covered beneficiary; and

(B) that is identified by the contractor as a claim for which a third-party payer may be liable.

(b) Recovery From Third-Party Payers.— The United States shall have the same right to collect charges related to claims described in subsection (a) as charges for claims under section 1095 of this title.

(c) Definition of Third-Party Payer.— In this section, the term “third-party payer” has the meaning given that term in section 1095(h) of this title, except that such term excludes primary medical insurers.

(Added Pub. L. 105261, div. A, title VII, § 711(a)(1), Oct. 17, 1998, 112 Stat. 2058; amended Pub. L. 10665, div. A, title VII, § 716(c)(2), Oct. 5, 1999, 113 Stat. 692.)

Notes

Editorial Notes

Amendments1999—Subsec. (b). Pub. L. 10665 substituted “The United States shall have the same right to collect charges related to claims described in subsection (a) as charges for claims under section 1095 of this title.” for “A contractor for the provision of health care services under the TRICARE program that pays a claim described in subsection (a)(2) shall have the right to collect from the third-party payer the costs incurred by such contractor on behalf of the covered beneficiary. The contractor shall have the same right to collect such costs under this subsection as the right of the United States to collect costs under section 1095 of this title.”