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Billing : MAC

Medical Affirmative Claims (MAC)

The Federal Medical Care Recovery Act (FMCRA) authorizes MTFs to recover the cost of furnishing health care to DoD beneficiaries, including active duty, who are injured or suffer an illness caused by a third party. Medical Affirmative Claims (MAC) is the military program established to accomplish this activity. MAC activities involve billing all areas of liability insurance. For example:

  • Automobile,
  • Homeowner's and renter's,
  • General casualty,
  • Medical malpractice (by civilian providers), and
  • Workers compensation (for persons other than Federal employees).

MAC also includes collecting accrued pay for the lost time of Service members who are injured or suffer an illness caused by a third party. MTF billing offices work with their Service-designated JAG to submit these claims.

The rates used for MAC billing are the same as those included in the Inpatient Adjusted Standardized Amounts (ASA) and Outpatient Itemized Billing (OIB) rate packages. However, these rates must be approved by the Office of Management and Budget and published in the Federal Register before they can be used for MAC purposes.

Funds collected through MAC are used to enhance health care delivery at the MTF providing the care.

Note: TPOCS can be used to print a MAC claim.

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