Attachment_L-1a,_List_of_Data_Files.docx

TRICARE Overseas Program (TOP) 21 Attachment L-1a, List of Data Files

The Defense Health Agency (DHA) will provide the following data files in a Microsoft Excel format, with the exception of the detailed medical claims file. The detailed medical claims report is in a comma delimited text file format.

1. Aeromedical Evacuation Data Report.

· Provides Aeromedical Evacuations data broken out by:

· Region

· Evacuation Date

· Diagnosis

· Health Care Delivery Program (HCDP) Coverage

· Origin City/Country

· Destination City/Country

· Data from September 1, 2016 -- August 31, 2017

2. Customer Service Data Report.

· Provides TOP Customer Service Data broken out by:

· Month

· Amount of routine correspondence

· Amount of priority correspondence

· Calls received

· Data from September 1, 2016 -- August 31, 2018

3. Enrollment Data.

· Provides historical enrollment data broken out by:

· Eligibles

· TOP PRIME Enrollees

· TOP PRIME Remote Enrollees

· TRICARE Select

· Military Treatment Facility (MTF) Plus Enrollees Data as of September 6, 2018

4. Translation Data Report.

· Provides translation report data broken out by:

· Language

· Number of requests

· Number of pages

· Data from September 1, 2017 – August 31, 2018.

5. Referral Data Report.

· Provides the referral data from Calendar Years 2015, 2016, and 2017 broken out by:

· Referral Date

· Referring MTF/Location

· Clinic Specialty

· Ancillary Procedure

· Enrollment MTF

· HCDP Category, Code, and Description.

6. Medical Capability Report.

· Provides the number of medical capability reports broken out by Combatant Command (COCOM):

· September 1, 2016 – August 31, 2017

· September 1, 2017 – August 31, 2018

7. TOP Remote Active Duty Service Member (ADSM) Dental Claims Data.

· Provides detailed claims data from October 2015 through November 2017.

· Provider identification and paid dollar amounts are proprietary which DHA will not provide.

8. Detail Level Medical Claims Reports. Provides detail level purchase care records.

· TOP2021_NonInst.txt, Comma delimited text file format.

· TOP2021_Inst.txt, Comma delimited text file format.

· Reference Tables Purchase Care – Foreign Procurement_201812.xls, Excel file format

· See Attachment 2, Detail Level Claims Data Field for additional details.

HT940219R0001 Page 1 of 2 Attachment L-1a