View the TRICARE (SCH) Expected Reimbursement Detail

Use the following procedure to view the TRICARE SCH Expected Reimbursement Detail.

The information on the Expected Reimbursement Detail page for TRICARE Sole Community Hospital (SCH) accounts is different from that of other TRICARE accounts.

  1. Access the Expected Reimbursement Detail page for a TRICARE SCH account. For more information, refer to View the Expected Reimbursement Details .
  2. Review the expected reimbursements.

The following table describes each of the fields on the Expected Reimbursement Detail page for TRICARE SCH claims. The fields are listed in alphabetical order.

Field

Description

Billed Charges

The total charges incurred for the claim or set of claims that have been repriced.

Cost-to-Charge Ratio

The ratio for determining hospital cost based on charges.

Error Code

The reason for rejection or return (claim level), if applicable.

Reimbursement Type

The Reimbursement type – either expected reimbursement or RA, if applicable (the latest RA is shown if there are multiple RAs).

Total Expected Reimbursement

The total expected reimbursement on the claim.