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Billing Tips, Reimbursement and Rates

Billing Tips and Reimbursement

Below are claims tips for common scenarios that you may encounter depending on the type of service you provide.

Rates

www.health.mil – main rates page
TRICARE Allowable Charges – CHAMPUS Maximum Allowable Charge (CMAC) rates
State Prevailing Rates (CPT/HCPCS with no CMAC rate)