Medicare General Information, Eligibility and Entitlement Manual (Pub. 100-01), Ch. 6 § 130.2

Type of Information

Last amended: 2002Year: 2002Length: 198 wordsOfficial source
130.2 - Type of Information (Rev. 1, 09-11-02) We expect that most requests from TriCare for information will involve primarily Part B Medicare operations in such areas as identification of physicians and other medical practitioners who may be engaging in providing excess services or fraud. Before we release this information to a requesting TriCare contractor that is not also a Medicare contractor, a Medicare contractor must have previously released the information in the administration of Title XVIII to: • An official of a medical or other applicable professional society or • An official of a State licensing board, or • Any other officer, agency, establishment or department of the Federal Government charged with the duty of conducting an investigation to determine whether there has been a violation of any provision of Federal law (see §120 of this chapter). We may also disclose to TriCare the types of data covered in §100.2 of this chapter, upon request when authorized by the beneficiary or the beneficiary's legal representative. In addition, we will, upon request, make available to TriCare Economic Index Data (as prescribed by §§405.502(a) and 405.504(a) of Regulations No. 5) that might affect the limits on prevailing charge levels.
Medicare General Information, Eligibility and Entitlement Manual (Pub. 100-01), Ch. 6 § 130.2: Type of Information | Justis AI