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Uniform Business Office (UBO)

DHA UBO

The Army, Navy, Air Force, and DHA establish and operate UBO offices at Defense Health Program (DHP) fixed military treatment facilities (MTFs) throughout the world that administer Third Party Collections (TPC), Medical Services Account (MSA), and Medical Affirmative Claim (MAC) Programs:

  • MSA activities involve the first-payer billing of individuals and other Government Agencies for services rendered in MTFs 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 MTFs. 
  • 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 MTF 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:

  • New CY20 Outpatient and Cosmetic Surgery Rates became effective July 1, 2020.  Download current files from the “MHS UBO Rates” landing page on health.mil or Launchpad. If you have any questions, please contact the DHA UBO Help Desk
  • The next DHA UBO webinar will be held on September 22 and September 24 and will cover the Audit Readiness. Please visit the "Upcoming Webinars" page for specific times and instructions for accessing the webinar.
  • The July 2020 Pharmacy Rate File and Pharmacy Pricing Estimator, effective July 1, 2020, have been approved and are available for use. If you have any questions, please contact the DHA UBO Help Desk
  • The current DD 2569 form has been submitted for renewal. The form remains in the re-licensing process and the current form, although showing a 8/31/2019 expiration date, is still approved and remains in compliance for use.
  • A CY20 Outpatient out-of-cycle update for new codes due to COVID-19 Interim Release has been approved with an effective date of April 1, 2020.  This out-of-cycle update is only for new 2020 CPT/HCPCS COVID-19 lab test codes and interim codes with rate assignments based on DHA UBO COVID-19 Billing Procedures for related care. Download current files from the “MHS UBO Rates” landing page on Health.mil or DHA Launchpad. If you have any questions, please contact the DHA UBO Help Desk
  • The CY20 VA-DoD Inpatient and Outpatient Calculators have been approved and are available for use on DHA Launchpad. If you have any questions, please contact the DHA UBO Help Desk
  • A CY20 Outpatient out-of-cycle update for new codes has been approved with an effective date of January 1, 2020.  This out-of-cycle update is only for new 2020 CPT/HCPCS codes. Download current files from the “MHS UBO Rates” landing page on health.mil or Launchpad. If you have any questions, please contact the DHA UBO Help Desk
  • New FY20 Inpatient ASA Billing Rates became effective October 1, 2019.  Download the signed memorandum from the “MHS UBO Rates” landing page on health.mil or Launchpad. Inpatient billing will be on hold until MTFs have loaded their FY20 ICD-10 code update. If you have any questions, please contact the DHA UBO Help Desk

Visit the DHA Launchpad site and navigate to the UBO page for more information. CAC Authentication is required.

Frequently Asked Questions

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.

This section is updated with questions the UBO receives from you! Send questions or suggestions to us via email, with the subject "FAQs".

For additional questions and answers, visit the UBO Learning Center to view webinar Q&As by topic.

You also may be interested in...

DHA-PM 6015.01: Military Medical Treatment Facility (MTF) Uniform Business Office (UBO) Operations (Note: DHA-PM 6015.01 has replaced DoD 6010.15-M)

Policy

This Defense Health Agency-Procedures Manual (DHA-PM), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (ah), establishes the Defense Health Agency’s (DHA) procedures to: Provide guidelines for the operation of MTF UBOs. It prescribes uniform billing procedures and accounting practices for the management and follow-up of patient accounts, including collecting, depositing, posting, and reconciliation. Prescribe procedures for the Third Party Collections (TPCs), Medical Services Account (MSA), and Medical Affirmative Claims (MAC) programs, such as identification of beneficiaries who have other health insurance (OHI), coordination of benefits, and recovery of claims.

DoD Instruction 6015.23: Foreign Military Personnel Care and Uniform Business Offices in Military Treatment Facilities

Policy

This instruction reissues and renames DoD Instruction (DoDI) 6015.23 (Reference (a)), in accordance with the authority in DoD Directive 5124.02 (Reference (b)), to establish policy, assign responsibilities, and prescribe procedures on provisions in the delivery of health care at MTFs in the Military Health System (MHS) regarding foreign military personnel care, Uniform Business Offices (UBOs), beneficiary counseling and assistance coordinators (BCAC), and debt collection assistance officers (DCAO).

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