Page:United States Statutes at Large Volume 106 Part 3.djvu/640

 106 STAT. 2434 PUBLIC LAW 102-484—OCT. 23, 1992 (1) The maintenance in electronic or written form, or both, of appropriate information on health care services provided to covered beneficiaries by or through third parties under CHAMPUS or any alternative CHAMPUS program or demonstration project. Such information shall include— (A) the services to which such beneficiaries are entitled or eligible under an insurance plan, mediccQ service plan, or health plan under CHAMPUS; (B) the insurers, medical services, or health plans that provide such services; and (C) the services available to beneficiaries under each insurance plan, medictd service plan, or health plan, and the payment required of the beneficiaries and the insurer, medical service, or health plan for such services under the plan. (2) The ability to receive in electronic or written form claims submitted by insurers, medical services, and health plans for services provided to covered beneficiaries. (3) The ability to process, a(^udicate, and pay G>y electronic or other means) such claims. (4) The provision of the information described in paragraphs (1) and (2) and information on the matters referred to in paragraph (3) by telephone, electronic, or other means to covered beneficiaries, insurers, mediccQ services, and health plans. (c) CONSISTENCY WITH MEDICARE CLAIMS REQUIREMENTS.— The Secretary of Defense shall ensure, to the maximum extent practicable, tiiat claims submitted to the claims processing system conform to the requirements applicable to claims submitted to the Secretary of Health and Human Services with respect to medictd care provided under part A of title XVIII of the Socitd Security Act (42 U.S.C. 1395c et seq.). (d) IDENTIFICATION CARD. —The Secretary of Defense shall take appropriate actions to determine whether the use by covered beneficiaries of a standard identification card containing electronically readable information will enhance the capability of the claims processing center to carry out the activities set forth in subsection (b). (e) TRANSITION TO SYSTEM.— After January 1, 1996, any modification or acquisition related to claims processing systems operations in the Office of the Civilian Health and Medical Program of the Uniformed Services shall contain provisions to transfer such operations to the claims processing system required by subsection (a). After January 1, 1999, any renewal or acquisition for fiscal intermediary services (including coordinated care implementations in military hospitals and clinics) shall contain provisions to transfer claims processing systems operations related to such fiscal intermediary services to the claims processing system required by subsection (a). (f) DEFINITIONS.— For purposes of this section: (1) The term "administering Secretaries" has the meaning S'ven that term in paragraph (3) of section 1072 of title 10, nited States Code. (2) The term "CHAMPUS" means the Civilian Health and A Medical Program of the Uniformed Services, as defined in paragraph (4) of such section.

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