{"identifier":"/us/usc/t10/s1095b","title":10,"num":"\u00a7\u202f1095b.","heading":"TRICARE program: contractor payment of certain claims","text":"\u00a7\u202f1095b.\nTRICARE program: contractor payment of certain claims\n(a)\nPayment of Claims.\u2014\n(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.\n(2) A claim under this paragraph is a claim\u2014\n(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\n(B) that is identified by the contractor as a claim for which a third-party payer may be liable.\n(b)\nRecovery From Third-Party Payers.\u2014\nThe United States shall have the same right to collect charges related to claims described in subsection (a) as charges for claims under\nsection 1095 of this title\n(c)\nDefinition of Third-Party Payer.\u2014\nIn this section, the term \u201cthird-party payer\u201d has the meaning given that term in\nsection 1095(h) of this title","url":"https://projectusc.org/usc/t10/s1095b.html","content":[{"t":"sec","id":"/us/usc/t10/s1095b","children":[{"t":"num","text":"\u00a7\u202f1095b."},{"t":"heading","text":"TRICARE program: contractor payment of certain claims"},{"t":"subsec","id":"/us/usc/t10/s1095b/a","children":[{"t":"num","text":"(a)"},{"t":"heading","text":"Payment of Claims.\u2014"},{"t":"para","id":"/us/usc/t10/s1095b/a/1","children":[{"t":"num","text":"(1)"},{"t":"content","text":" 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.","tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t10/s1095b/a/2","children":[{"t":"num","text":"(2)"},{"t":"chapeau","text":" A claim under this paragraph is a claim\u2014"},{"t":"subpara","id":"/us/usc/t10/s1095b/a/2/A","children":[{"t":"num","text":"(A)"},{"t":"content","text":" 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","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t10/s1095b/a/2/B","children":[{"t":"num","text":"(B)"},{"t":"content","text":" that is identified by the contractor as a claim for which a third-party payer may be liable.","tail":"\n"}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"subsec","id":"/us/usc/t10/s1095b/b","children":[{"t":"num","text":"(b)"},{"t":"heading","text":"Recovery From Third-Party Payers.\u2014"},{"t":"content","text":"The United States shall have the same right to collect charges related to claims described in subsection (a) as charges for claims under ","children":[{"t":"ref","text":"section 1095 of this title","href":"/us/usc/t10/s1095","tail":"."}],"tail":"\n"}],"tail":"\n"},{"t":"subsec","id":"/us/usc/t10/s1095b/c","children":[{"t":"num","text":"(c)"},{"t":"heading","text":"Definition of Third-Party Payer.\u2014"},{"t":"content","text":"In this section, the term \u201cthird-party payer\u201d has the meaning given that term in ","children":[{"t":"ref","text":"section 1095(h) of this title","href":"/us/usc/t10/s1095/h","tail":", except that such term excludes primary medical insurers."}],"tail":"\n"}],"tail":"\n"},{"t":"text","text":"\n"},{"t":"text","text":"\n"}]}]}