View the TRICARE Non-OPPS Calculator Results

Use this procedure to view the TRICARE Non-OPPS Calculator Results page.

  1. Access the TRICARE Non-OPPS Calculator Results page.
    1. Select Go To > Government Payor Research > TRICARE > Outpatient Calculator. The TRICARE Non-OPPS Calculator page opens.
    2. Specify the calculation criteria and click Calculate. The TRICARE Non-OPPS Calculator Results page opens. For more information about the calculation criteria, refer to Use the TRICARE Non-OPPS Calculator.
  2. View the calculation results.
  3. To view additional details regarding the information on this page:

    Note: Click the Bill Type link to display the Billing Type Definition page. For more information, refer to Billing Type Definition.

  • New Non-OPPS Calculator returns to a blank calculator page.
  • Recalculate TRI Non-OPPS returns to the previous page.

The following table describes each of the fields on the TRICARE Non-OPPS Calculator Results page. For internal users only, the source information is given for some fields, in the format: “Table.Field.” The URL for this page is tricare_oppscalc_output.asp.

Field

Description

Bill Type

Bill type

Source: UB-92, FL04; UB-04, FL04

CPT/HCPC Codes

Associated CPT or HCPC codes

Source: UB-92, FL44; UB-04, FL44

Date of Service

The date the service was performed

Discharge Status

Patient’s destination upon discharge (home, LTC, and so on)

Patient DOB

Patient birth date

Patient Sex

Patient gender

Revenue Code

Revenue code; at least one revenue code per line item is required. Revenue code is auto filled to three digits, for example, if you type “2” the system fills “002”

Source: UB-92, FL42; UB-04, FL42

Service From

First date of service rendered to the patient. This is required information, and defaults to today’s date.

Service Through

Ending date the service was performed; required information; defaults to today’s date. Cannot be prior to Service From date.

Total Charges

Total charges for the procedure/line item

Units

Number of units