View the TRICARE (Inpatient Rehab) Expected Reimbursement Detail

Use the following procedure to view the expected reimbursement detail for TRICARE Inpatient Rehab accounts.

Note: If the Expected Reimbursement Detail is incomplete, click a Service Type link.

  1. Access the Expected Reimbursement Detail page for a TRICARE Inpatient Rehab 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 inpatient rehab claims. The fields are listed in alphabetical order. For internal users only, the source information is given for some fields, in the format: “Table.Field.”

Field

Description

Billed Charges

Total billed charges for the product during the selected time period

Source: UB-92, FL47; UB-04, FL47

Covered Charges

Amount of charges covered by Medicare LTCH

Covered Day

Number of covered days

Source: UB-92, FL07; UB-04 FL39/Code 70; Billmast.COVDAYS

DRG

Diagnosis Related Group. If the DRG was submitted with a Severity of Illness code, it displays as DRG-Severity Code, for example, 001-2.

Source: Billmast.DRG

Error Code

Reason for rejection or return (claim level), if applicable

Source: BILLMCAD.ERRCODE

Reimbursement Type

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

Total Reimbursement

Total expected reimbursement on the claim