View the TRICARE (SNF) Expected Reimbursement Detail
Use the following procedure to view the TRICARE (SNF) Expected Reimbursement Detail.
Note: If the Expected Reimbursement Detail is incomplete, click a Service Type link.
Procedure
- Access the Expected Reimbursement Detail page for a TRICARE SNF account. For more information, refer to View the Expected Reimbursement Details .
- View the expected reimbursements.
- Optionally, you can perform the following actions:
- Click a link in the Term Type or Service Type column. The View Contract Profile page opens. For more information, refer to View a Contract Profile.
- Click View in the Calculation Details column. The Calculation Details page opens. For more information, refer to View Expected Reimbursement Calculation Details.
Field Descriptions – TRICARE SNF Accounts
The following table describes the fields on the Expected Reimbursement Detail page for TRICARE SNF claims.
|
Field |
Description |
|
Covered Days |
Number of covered days |
|
Error Code |
Reason for rejection or return (claim level), if applicable |
|
Line Item Error Definitions |
Definitions of line item errors |
|
RUG |
Resource Utilization Group (RUG) code |
|
Total Expected Reimbursement |
Total expected reimbursement on the claim |