Who are we?
The mission of the Defense Health Agency (DHA) Uniform Business Office (UBO) is to optimize allowable health care cost recovery within compliance guidelines in support of the operational and readiness mission of the Military Health System (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.
The UBO is structured into 3 sections: Medical Affirmative Claims, Medical Services Account, and Third Party Collections.
Medical Affirmative Claims (MAC)
If you or your attorneys need to make any inquiries about a potential claim, a request can be made by contacting the JAG office via fax at 757-444-3527. They can also be reached via phone at 757-440-6300.
If a copy of your medical records is required, you can obtain this by coming into the hospital or faxing a request to medical records at 910-450-4167.
The mission of the MAC division is to recover the reasonable value of medical care rendered for injuries or illnesses provided at government expense to DoD beneficiaries under circumstances creating third party tort liability (e.g. motor vehicle accident, Tanimal bite, product liability, slip & fall, or worker's compensation). The circumstances surrounding the injury could be a motor vehicle accident, assault, on-the-job injury or other incident resulting in personal injury. The MAC office collects details and pertinent reports about the accident/injury and files a claim with the Navy Legal Service.
Medical Services Account (MSA)
MSA activities involve billing and collecting funds for medical and dental services, including elective cosmetic procedures, provided in the Defense Health Program (DHP) fixed facilities from the following entities:
- DoD beneficiaries (Subsistence Rate Charges)
- Other government agencies (including Department of Veteran’s Affairs)
- DoD civilians and contractors
- Non-Appropriated Fund (NAF) employees
- Secretarial Designees
- Authorized foreign military members
- DoD dependent school employees
- Army and Air Force Exchange Services (AAFES) employees
- Civilian emergency (CE) and civilian trauma patients and
- Other non-DoD beneficiary patients authorized to receive treatments in MTFs
Third Party Collections (TPC)
TPC requires military treatment facilities to collect from third party payers the reasonable charges for medical services (inpatient, outpatient and ancillary services) provided to Uniform Services beneficiaries, excluding active duty. TPC means more money for the medical center, with front desk personnel being the key to TPC’s success. They are required to collect Other Health Insurance (OHI) information on all non-active duty patients who seek treatment at the hospital and forward this information to UBO. OHI information is collected using DD Form 2569.
Frequently Asked Questions Regarding the TPC Program:
- What effect will this program have on one's health insurance?
- None. Health insurance is intended to cover medical services listed in the members’ policy based on the premiums paid for those services. Health insurance premiums, unlike automobile insurance premiums, usually do not increase due to hospitalization.
- If the full cost of care is not collected, will the member get a bill from the hospital or insurance company?
- No. Member will not be billed for any costs that we cannot collect. Members are not responsible for co-payments or deductibles not paid to us by Health Insurance Carrier, even if they appear on the members’ Explanation of Benefits. Most insurance plans have a deductible that must be met before the plan starts to pay. When we file claims, the amount billed will be counted toward the member's deductible. As a result, members will spend less money out of pocket.
- Does a non-active duty beneficiary need to provide my insurance information with every visit ?
- To collect benefits covered by third party payers, we must verify information that appears on a non-active duty beneficiary's health insurance identification card.
Update Your Contact Information on DEERS
It is important to always have your contact information updated in the Defense Enrollment Eligibility Reporting System (DEERS) to make sure you receive bills in a timely manner. Patients are encouraged to put as much contact information such as email address, phone numbers, and postal mail address to prevent bill notifications from going unnoticed. Make sure to check each of your family members’ information.
1. Visit the ID Office Online website at: https://milconnect.dmdc.osd.mil/milconnect)
2. Click “continue” under “My Profile”
3. Login with your preferred method. (MYAUTH LOGIN with a CAC is recommended)
4. Update your information once logged in
* Hospital bills will be sent to the “Mailing Address”, but not the Primary Residential Address when set different
* Make sure to update each family member
Update Your Insurance Information at Outpatient Records
To update your medical insurance information, please bring your insurance card to your next appointment check-in. You can also bring it directly to Outpatient Records, even without an appointment. Make sure to check each of your family members that need to be updated. If you believe your insurance wasn’t registered for a past appointment, or your Emergency Room visit (if you are a civilian) please contact the UBO so we can check the status.
How Do I Pay My Bill?
For bills sent from the Centralized Receivables Service (CRS), please refer to the payment link included in the invoice sent to you, or call 1-888-618-3103, Monday – Friday, 8 a.m. to 8 p.m. U.S. Eastern Time.
I haven’t received a bill / What's the NDAA 716 Halt?
To ensure compliance with the National Defense Authorization Act of 2023, the Secretary of Defense issued a directive to defer billing civilian patients not covered by health insurance for medical services rendered on or after June 21, 2023. We’ll continue to work with insurance companies and submit claims for insurance reimbursement. However, any balance due to the patient after insurance payments are applied will be deferred until we receive guidance to resume. This applies to civilians, NAF, and U.S. contractors.
If you’d like to pay a bill regardless of the NDAA halt and/or bill the insurance company yourself, please download the Self-Filing Form below, fill out the top section, and send it to our email with the subject line, “NDAA Self-filing” with the following information.
Download link:
NDAA Self-Filing Form
Subject line: NDAA Self-filing – Your Last Name, First Name
Body: “My DOD# is _____. I would like to pay my bills regardless of the NDAA halt. Please see attached Self-Filing Form and reply with a copy of my bills to pay.”
* If you’re requesting the same for other family members, please also attach the DD Form 2870, explained next.
Authorization to Release Medical Records
Every family member 18 or older has the right to their own privacy. For the UBO to print out or send claims for individuals over 18, authorization to release medical records needs to be on file. Please fill out the DD Form 2870 and send it to the UBO via email or postal mail
Download link:
DD Form 2870
Email:
dha.lejeune.Camp-Lejeune-NMC.list.NMCCL-Uniform-Business-Office@health.mil
Subject line: DD2870 – Your Last Name, First Name
Mail: Naval Medical Center Camp Lejeune
Attn: UBO
100 Brewster Blvd
Camp Lejeune, NC 28547-2538
Frequently Asked Questions
Is there a due date for paying the bills?
INSURED PATIENTS
If payment is received from the insurance company, the remaining balance will be patient responsibility. Patient has 30 days after the receipt of the CRS invoice to make payments. Payment instructions will be included with bill notification. If payment or a payment plan is not made within 30 days, interest and penalties will begin accruing on day 31.
If no payment is received after 120 days, CRS will transfer the debt to Treasury for garnishment. A 30% penalty will automatically be added once transferred from CRS to Treasury, where balance will continue to accrue interest and penalties daily until paid in full.
UNINSURED PATIENTS
For uninsured Civilian patients, debt will be transferred to CRS and you will receive an invoice and information on how to pay, how to request a compromise or payment plan, and how to submit your insurance information if it was not received by UBO. You will have 30 days after the receipt of the CRS invoice to make payments. Payment instructions will be included with bill notification. If payment or a payment plan is not made within 30 days, interest and penalties will begin accruing on day 31.
If no payment is received after 120 days, CRS will transfer the debt to Treasury for garnishment. A 30% penalty will automatically be added once transferred from CRS to Treasury, where balance will continue to accrue interest and penalties daily until paid in full.
Will retired / reservist / veteran service members and their family receive a bill?
Retired / reservist / veteran sponsors enrolled in TRICARE (at the date of service) will in most cases not see a bill. If they are not enrolled in TRICARE at the date of service, they may receive a bill. Tricare Retired, Tricare Select and Tricare Direct family members who are inpatient will receive a Subsistence Rate bill for each inpatient night at Naval Medical Center Camp Lejeune, the current daily rate is $23.45.
I have TRICARE (Prime, Remote, Select). Will I receive a bill?
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TRICARE PRIME ACTIVE-DUTY Sponsors and Dependent enrollees will not receive a bill from the UBO for care rendered at Naval Medical Center Camp Lejeune.
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TRICARE PRIME REMOTE enrollees will not receive a bill from the UBO for care rendered at Naval Medical Center Camp Lejeune, unless you are enrolled in a US Family Health Plan – these Tricare health plans for Tricare Remote enrollee’s who choose them, are not eligible for care at Military Treatment Facilities and will be charged for care rendered.
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TRICARE SELECT dependent enrollees will only receive a bill from the UBO if they are admitted as Inpatient, in which case they will accrue a daily charge of $23.45.
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TRICARE RETIRED RERSERVE enrollees may be sent a bill depending on services rendered. Please visit the Tricare website for detailed description regarding coverage and copayments.