OHI_Information_Request.docx
DOCX document 13 KB Posted
- Attached to
- TRICARE Dental Program (TDP) Federal contract opportunity
- Solicitation number
- HT940215R0001
- Issued by
- Defense Health Agency
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Revised_15_Jan_2015_responses.pdf | ||
| TDP_Draft_RFP_Responses_to_Industry_FBO.docx | DOCX document | |
| ACA_Information_Request.docx | DOCX document | |
| HT9402-15-R-0001_DRAFT_RFP.pdf | ||
| Attachments.zip | ZIP file | |
| Exhibit_A_CDRLS.zip | ZIP file |
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Text version
Please indicate whether or not you collect Other Health Insurance (OHI) information. If you collect OHI data, how do you collect it and how often do you collect it? Do you collect any of the data stated below? Please provide any additional data that you collect that is not stated below.
•Policy Identifier (policy number) •OHI Effective Date •HIPAA Insurance Type Code •HIPAA Person Association Code •Claim Filing Code •OHI Coverage Type Code •OHI Coverage Payer Type Code •OHI Coverage Effective Date •OHI Policy Coverage Precedence Code •Health Insurance Name •Health Insurance Coverage Type Code •Health Insurance Payer Type Code
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