The Army, Navy, Air Force, and Defense Health Agency establish and operate Uniform Business Offices at military hospitals and clinics throughout the world that administer Third Party Collections, Medical Services Account, and Medical Affirmative Claim Programs:
- MSA activities involve the first-payer billing of individuals and other Government Agencies for services rendered in military hospitals and clinics to include, but not limited to, the U.S. Coast Guard, the National Oceanic and Atmospheric Administration, and the U.S. Public Health Service.
- TPC activities involve billing third-party payers on behalf of non-active duty family members and dependents for treatment provided in military hospitals and clinics.
- MAC activities involve billing all areas of liability insurance, such as automobile, products, premises and general casualty, homeowner's and renter's insurance, medical malpractice (by civilian providers), and workers' compensation (other than Federal employees).
These efforts are coordinated by the Chartered UBO Advisory Working Group, composed of the DHA, Army, Navy, and Air Force Program Managers who meet quarterly to review and recommend effective processes to identify, review, validate, and prioritize functional changes and business process improvements to support military hospital and clinic revenue cycle management activities.
UBO offices focus on ensuring that billable services are identified; payer information is available; accurate and complete claims are generated; and appropriate collections are received. Together, the three cost recovery programs provide the business processes for cost recovery including collections control, accounts receivable, and deposits.
The UBO Mission
Our mission is to optimize allowable health care cost recovery within compliance guidelines in support of the operational and readiness mission of the MHS.
The UBO supports the TRICARE managed care programs by providing tools and policies to enhance and improve the effectiveness of the financial and collection operations. Additionally, the UBO supports managing and expediting collections from patients and third party insurers; supports consistent and uniform reporting of expense, manpower and workload data, and enhancing third party reimbursements.
Latest News:
The next DHA UBO webinar will be held on April 23 and 25 and will cover Audit Readiness: Medical Adjustments, Corrections and Edits, Segregation of Duties and Supervisory Review, ABACUS Account Management, and User Recertification Process. Please visit the Upcoming Webinars page for specific times and instructions for accessing the webinar.
Visit Inside DHAGoes to Inside DHA and go to the UBO page for more information. CAC Authentication is required.