[Title 32 CFR 732]
[Code of Federal Regulations (annual edition) - July 1, 2002 Edition]
[Title 32 - NATIONAL DEFENSE]
[Subtitle A - Department of Defense (Continued)]
[Chapter Vi - DEPARTMENT OF THE NAVY]
[Subchapter C - PERSONNEL]
[Part 732 - NONNAVAL MEDICAL AND DENTAL CARE]
[From the U.S. Government Printing Office]


32NATIONAL DEFENSE52002-07-012002-07-01falseNONNAVAL MEDICAL AND DENTAL CARE732PART 732NATIONAL DEFENSEDepartment of Defense (Continued)DEPARTMENT OF THE NAVYPERSONNEL
PART 732--NONNAVAL MEDICAL AND DENTAL CARE--Table of Contents




                           Subpart A--General

Sec.
732.1 Background.
732.2 Action.

        Subpart B--Medical and Dental Care from Nonnaval Sources

732.11 Definitions.
732.12 Eligibility.
732.13 Sources of care.
732.14 Authorized care.
732.15 Unauthorized care.
732.16 Emergency care requirements.
732.17 Nonemergency care requirements.
732.18 Notification of illness or injury.
732.19 Claims.
732.20 Adjudication authorities.
732.21 Medical board.
732.22 Recovery of medical care payments.
732.23 Collection for subsistence.
732.24 Appeal procedures.

 Subpart C--Accounting Classifications for Nonnaval Medical and Dental 
               Care Expenses and Standard Document Numbers

732.25 Accounting classifications for nonnaval medical and dental care 
          expenses.
732.26 Standard document numbers.

    Authority: 5 U.S.C. 301; 10 U.S.C. 1071-1088, 5031, 6148, 6201-6203, 
and 8140; and 32 CFR 700.1202.

    Source: 52 FR 32297, Aug. 27, 1987, unless otherwise noted.



                           Subpart A--General



Sec. 732.1  Background.

    When a U.S. Navy or Marine Corps member or a Canadian Navy or Marine 
Corps member receives authorized care from other than a Navy treatment 
facility, care is under the cognizance of the uniformed service medical 
treatment facility (USMTF) providing care, the USMTF referring the 
member to another treatment source, or under the provisions of this 
part. If such a member is not receiving care at or under the auspices of 
a Federal source, responsibility for health and welfare, and the 
adjudication of claims in connection with their care, remains within the 
Navy Medical Department. Part 728 of this chapter and NAVMEDCOMINST 
6320.18 contain guidelines concerning care for other eligible 
beneficiaries, not authorized care by this part.



Sec. 732.2  Action.

    Ensure that personnel under your cognizance are made aware of the 
contents of this part. Failure to comply with contents may result in 
delayed adjudication and payment or may result in denial of Navy 
financial responsibility for expenses of maternity, medical, or dental 
care obtained.



        Subpart B--Medical and Dental Care From Nonnaval Sources



Sec. 732.11  Definitions.

    Unless otherwise qualified in this part the following terms when 
used throughout are defined as follows:
    (a) Active duty. Full-time duty in the active military service of 
the United States. Includes full-time training duty; annual training 
duty; and attendance, while in the active military service, at a school 
designated as a service school by law or by the Secretary of the 
military department concerned.
    (b) Active duty for training. A specified tour of active duty for 
Reserves for training under orders that provides for automatic reversion 
to non-active duty status when the specified period of active duty is 
completed. It includes annual training, special tours, and the initial 
tour performed by enlistees without prior military service. The period 
of duty includes travel to and from training duty, not in excess of the 
allowable constructive travel time prescribed by SECNAVINST 1770.3 and 
paragraphs 10242 and 10243 of DOD Military Pay and Allowances 
Entitlements Manual.
    (c) Constructive return. For purposes of medical and dental care, an 
unathorized absentee's return to military control may be accomplished 
through notification of appropriate military authorities as outlined 
below.
    (1) For members in an unauthorized absentee (UA) status, 
constructive return to military control for the purpose of providing 
medical or dental care at Navy expense is effected when one of the 
following has occurred:
    (i) A naval activity informs a civilian provider of medical or 
dental care that

[[Page 349]]

the Navy accepts responsibility for a naval member's care. The naval 
activity providing this information must also provide documentation of 
such notification to the appropriate adjudication authority in 
Sec. 732.20.
    (ii) A member has been apprehended by civil authorities at the 
specific request of naval authorities and naval authorities have been 
notified that the member can be released to military custody.
    (iii) A naval member has been arrested, while in a UA status, by 
civil authorities for a civil offense and a naval authority has been 
notified that the member can be released to military control.
    (2) When a naval member has been arrested by civil authorities for a 
civil offense while in a UA status and the offense does not allow 
release to military control, constructive return is not accomplished. 
The individual is responsible for medical and dental care received prior 
to arrest and the incarcerating jurisdiction is responsible for care 
required after arrest.
    (d) Designated Uniformed Services Treatment Facilities (Designated 
USTFs). Under Pub. L. 97-99, the following facilities are ``designated 
USTFs'' for the purpose of rendering medical and dental care to all 
categories of individuals entitled to care under this part.
    (1) Sisters of Charity of the Incarnate Word Health Care System, 
6400 Lawndale, Houston, TX 77058 (713) 928-2931 operates the following 
facilities:
    (i) St. John Hospital, 2050 Space Park Drive, Nassau Bay, TX 77058, 
telephone (713) 333-5503. Inpatient and outpatient services.
    (ii) St. Mary's Hospital Outpatient Clinic, 404 St Mary's Boulevard, 
Galveston, TX 77550, telephone (409) 763-5301. Outpatient services only.
    (iii) St. Joseph Hospital Ambulatory Care Center, 1919 La Branch, 
Houston, TX 77002, telephone (713) 757-1000. Outpatient services only.
    (iv) St Mary's Hospital Ambulatory Care Center, 3600 Gates 
Boulevard, Port Arthur, TX 77640 (409) 985-7431. Outpatient services 
only.
    (2) Inpatient and outpatient services. (i) Wyman Park Health System, 
Inc., 3100 Wyman Park Drive, Baltimore, MD 21211, telephone (301) 338-
3693.
    (ii) Alston-Brighton Aid and Health Group, Inc., Brighton Marine 
Public Health Center, 77 Warren Street, Boston, MA 02135, telephone 
(617) 782-3400.
    (iii) Bayley Seton Hospital, Bay Street and Vanderbilt Avenue, 
Staten Island, NY 10304, telephone (718) 390-5547 or 6007.
    (iv) Pacific Medical Center, 1200 12th Avenue South, Seattle, WA 
98144, telephone (206) 326-4100.
    (3) Outpatient services only. (i) Coastal Health Service, 331 
Veranda Street, Portland, ME 04103 (207) 774-5805.
    (ii) Lutheran Medical Center, Downtown Health Care Services, 1313 
Superior Avenue, Cleveland, OH 44113, telephone (216) 363-2065.
    (e) Duty status. The situation of the claimant when maternity, 
medical, or dental care is received. Members, including reservists, on 
leave or liberty are considered in a duty status. Reservists, performing 
active duty for training or inactive duty training, are also considered 
in a duty status during their allowable constructive travel time to and 
from training.
    (f) Emergency care. Medical treatment of severe life threatening or 
potentially disabling conditions which result from accident or illness 
of sudden onset and necessitates immediate intervention to prevent undue 
pain and suffering or loss of life, limb, or eyesight and dental 
treatment of painful or acute conditions.
    (g) Federal facilities. Navy, Army, Air Force, Coast Guard, Veterans 
Administration, and USTFs (former U.S. Public Health Service facilities 
listed in Sec. 732.11(d).
    (h) Inactive duty training. Duty prescribed for Reserves by the 
Secretary of the Navy under Section 206 of Title 37, United States Code, 
or any other provision of law. Also includes special additional duties 
authorized for Reserves by an authority designated by the Secretary of 
the Navy and performed by Reserves on a voluntary basis in connection 
with the prescribed training or maintenance activities of units to which 
they are assigned.
    (i) Maternity emergency. A condition commencing or exacerbating 
during pregnancy when delay caused by referral to a uniformed services 
medical

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treatment facility (USMTF) or designated USTF would jeopardize the 
welfare of the mother or unborn child.
    (j) Member. United States Navy and Marine Corps personnel, 
Department of National Defence of Canada Navy and Marine Corps 
personnel, and Navy and Marine Corps personnel of other NATO Nations 
meeting the requirements for care under this part.
    (k) Non-federal care. Maternity, medical, or dental care furnished 
by civilian sources (includes State, local, and foreign MTFs).
    (l) Nonnaval care. Maternity, medical, or dental care provided by 
other than Navy MTFs. Includes care in other USMTFs, designated USTFs, 
VA facilities, as well as from civilian sources.
    (m) Office of Medical Affairs (OMA) or Office of Dental Affairs 
(ODA). Designated offices, under program management control of 
COMNAVMEDCOM and direct control of regional medical commands, 
responsible for administrative requirements delineated in this part. 
Responsibilities and functional tasks of OMAs and ODAs are outlined in 
NAVMEDCOMINST 6010.3.
    (n) Prior approval. Permission granted for a specific episode of 
necessary but nonemergent maternity, medical, or dental care.
    (o) Reservist. A member of the Naval or Marine Corps Reserve.
    (p) Supplemental care--(1) Operation and maintenance funds, Navy. 
Supplemental care of all uniformed services members, at Navy expense, 
encompasses only inpatient or outpatient care augmenting the capability 
of a naval MTF treating a member. Such care is usually obtained from 
civilian sources through referral by the treating naval MTF. If a 
member, authorized care under this part, is admitted to or is being 
treated on an outpatient basis at any USMTF, all supplemental care is 
the financial responsibility of that facility regardless of whether the 
facility is organized or authorized to provide needed health care. The 
cost of such care is chargeable to operation and maintenance funds 
(OM&N) available for operation of the USMTF requesting the care 
regardless of service affiliation of the member (see part 728 of this 
chapter for such care under Navy Medical Department facilities).
    (2) Nonnaval medical and dental care program funds. Adjudication 
authorities will pay claims, under this part, for care received as a 
result of a referral when:
    (i) A United States Navy or Marine Corps member or a Canadian Navy 
or Marine Corps member requires care beyond the capability of the 
referring USMTF and care is obtained for such a member not admitted to 
or not being treated on an outpatient basis by a USMTF, and
    (ii) The referring USMTF is not organized nor authorized to provide 
the needed health care.
    (3) Other uniformed services supplemental care programs. In addition 
to services that augment other USMTF's capabilities, supplemental care 
programs of the other uniformed services include care and services 
comparable to those authorized by this part, e.g., emergency care and 
pre-approved nonemergency care.
    (q) Unauthorized absence. Absence or departure without authority 
from a member's command or assigned place of duty.
    (r) Uniformed Services Medical Treatment Facilities (USMTF). Health 
care facilities of the Navy, Army, Air Force, Coast Guard, and the 
former U.S. Public Health Service facilities listed in paragraph (d) of 
this section designated as USTFs per DOD and Department of Health and 
Human Services directives.



Sec. 732.12  Eligibility.

    (a) Regular members. To be eligible for non-Federal medical, dental, 
or emergency maternity care at Government expense, Regular active duty 
United States naval members and Canadian Navy and Marine Corps members 
must be in a duty status when care is provided.
    (b) Reservists. (1) Reservists on active duty for training and 
inactive duty training, including leave and liberty therefrom, are 
considered to be in a duty status while participating in training. 
Accordingly, they are entitled to care for illnesses and injuries 
occurring while in that status.
    (2) Reservists are entitled to care for injuries and illnesses 
occurring during

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direct travel enroute to and from active duty training (ACDUTRA) and to 
and from inactive duty training.
    (c) NATO naval members. Naval members of the NATO Status of Forces 
Agreement (SOFA) nations of Belgium, Denmark, Federal Republic of 
Germany, France, Greece, Iceland, Italy, Luxembourg, the Netherlands, 
Norway, Portugal, Spain, Turkey, and the United Kingdom, are authorized 
outpatient care only under the provisions of this part when stationed in 
or passing through the United States in connection with official duties. 
Public Law 99-591 prohibits inpatient care of these foreign military 
members in the United States at the expense of the United States 
Government. The other NATO SOFA Nation, Canada, entered into a 
comparable care agreement with the United States requiring the United 
States to provide inpatient and outpatient care under the provisions of 
this part to members of the Department of National Defence of Canada 
receiving care in the United States.
    (d) Absent without authority. Naval members absent without authority 
during an entire episode of treatment are not eligible for non-Federal 
medical, dental, or emergency maternity care at Government expense. The 
only exception occurs when a member's illness or injury is determined to 
have been the direct cause of the unauthorized absentee status. In such 
an instance, eligibility will be:
    (1) Determined to have existed from the day and hour of such injury 
or illness provided the member was not in an unauthorized absentee 
status prior to the onset of the illness or injury and initiation of 
treatment.
    (2) Retained when the member is returned directly to military 
control.
    (3) Terminated should the member return to an unauthorized absentee 
status immediately after completion of treatment. Departmental level 
(MEDCOM-333 for medical and MEDCOM-06 for dental) review is required 
before benefits may be extended.
    (e) Constructive return. When constructive return, defined in 
Sec. 732.11(c), is effected, entitlement will be determined to have 
existed from 0001 hours of the day of constructive return, not 
necessarily the day and hour care was initiated.



Sec. 732.13  Sources of care.

    (a) Initial application. If a member requires maternity, medical, or 
dental care and naval facilities are unavailable, make initial 
application to other available Federal medical or dental facilities or 
USTFs. When members are stationed in or passing through a NATO SOFA 
nation and U.S. facilities are unavailable, ensure that members make 
initial application for emergency and nonemergency care to military 
facilities of the host country, or if applicable, to civilian sources 
under the NATO SOFA nation's health care program. When hospitalized in 
Hawaii, Alaska, or in a foreign medical facility, members and 
responsible commands will comply with OPNAVINST 6320.6.
    (b) Secondary sources. When either emergency or nonemergency care is 
required and there are no Federal or NATO SOFA facilities available, 
care may be obtained from non-Federal sources under this part.



Sec. 732.14  Authorized care.

    (a) Medical. (1) Consultation and treatment provided by physicians 
or at medical facilities, and procedures not involving treatment when 
directed by COMNAVMEDCOM, are authorized. Such care includes, but is not 
limited to: treatment by physicians, hospital inpatient and outpatient 
care, surgery, nursing, medicine, laboratory and x-ray services, 
physical therapy, eye examinations, etc. See Sec. 732.17 for prior 
approval of these services in nonemergency situations.
    (2) When transplant (including bone-marrow) is the treatment of 
choice, COMNAVMEDCOM approval is required. If time permits, telephone 
(A) 294-1102, (C) (202) 653-1102 during regular hours or (A) 294-1327, 
(C) 653-1327 after regular duty hours, and followup with a message. 
Request approval via message in nonemergency situations.
    (b) Maternity episode. If a member authorized care under this part 
qualifies for care under the provisions of Sec. 732.17(c) and delivers 
in a civilian hospital, routine newborn care (i.e., nursery, newborn 
examination, PKU test,

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etc.) is a part of the mother's admission expenses. Regardless of 
circumstances necessitating delivery in a civilian facility or how 
charges are separated on the bill, charges will be paid from funds 
available for care of the mother. If the infant becomes a patient in his 
or her own right--through an extension of the birthing hospital stay 
because of complications, transfer to another facility, or subsequent 
admission--the provisions of part 728 of this chapter and NAVMEDCOMINST 
6320.18 are applicable, and the sponsor becomes responsible for a part 
of the medical expenses incurred.
    (c) Dental. (1) With prior approval, the following may be provided:
    (i) All types of treatment (including operative, restorative, and 
oral surgical) to relieve pain and abort infection.
    (ii) Prosthetic treatment to restore extensive loss of masticatory 
function or the replacement of anterior teeth for esthetic reasons.
    (iii) Repair of existing dental prostheses when neglect of the 
repair would result in unserviceability of the appliance.
    (iv) Any type of treatment adjunctive to medical or surgical care.
    (v) All x-rays, drugs, etc., required for treatment or care in 
paragraphs (c)(1) (i) through (iv) of this section.
    (2) In emergencies (no prior approval), only measures appropriate to 
relieve pain or abort infection are authorized.
    (d) Eye refractions and spectacles. Includes refractions of eyes by 
physicians and optometrists and furnishing and repairing spectacles.
    (1) Refractions. A refraction may be obtained from a civilian source 
at Government expense only when Federal facilities are not available, no 
suitable prescription is in the member's Health Record, and the 
cognizant OMA or referring USMTF has given prior approval.
    (2) Spectacles. When a member has no suitable spectacles and the 
lack thereof, combined with the delay in obtaining suitable ones from a 
Federal source would prevent performance of duty; repair, replacement, 
or procurement from a civilian source may be authorized upon initiation 
of an after-the-fact request per Sec. 732.17. Otherwise, the 
prescription from the refractionist, with proper facial measurements, 
must be sent for fabrication to the appropriate dispensing activity set 
forth in NAVMED COMINST 6810.1. See Sec. 732.15(g) concerning contact 
lenses.



Sec. 732.15  Unauthorized care.

    The following are not authorized by this part:
    (a) Chiropractic services.
    (b) Vasectomies.
    (c) Tubal ligations.
    (d) Breast augmentations or reductions.
    (e) Psychiatric care, beyond the initial evaluation.
    (f) Court ordered care.
    (g) Contact lenses.
    (h) Other elective procedures.



Sec. 732.16  Emergency care requirements.

    Only in a bona fide emergency will medical, maternity, or dental 
services be obtained under this part by or on behalf of eligible 
personnel without prior authority as outlined below.
    (a) Medical or dental care. A situation where the need or apparent 
need for medical or dental attention does not permit obtaining approval 
in advance.
    (b) Maternity care. When a condition commences or exacerbates during 
pregnancy in a manner that a delay, caused by referral to a USMTF or 
USTF, would jeopardize the welfare of the mother or unborn child, the 
following constitutes indications for admission to or treatment at a 
non-Federal facility:
    (1) Medical or surgical conditions which would constitute an 
emergency in the nonpregnant state.
    (2) Spontaneous abortion, with first trimester hemorrhage.
    (3) Premature or term labor with delivery.
    (4) Severe pre-eclampsia.
    (5) Hemorrhage, second and third trimester.
    (6) Ectopic pregnancy with cardiovascular instability.
    (7) Premature rupture of membrames with prolapse of the umbilical 
cord.
    (8) Obstetric sepsis.
    (9) Any other obstetrical condition that, by definition, constitutes 
an emergency circumstance.

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Sec. 732.17  Nonemergency care requirements.

    Members are cautioned not to obtain nonemergency care from civilian 
sources without prior approval from the cognizant adjudication authority 
in Sec. 732.20. Obtaining nonemergency care, other than as specified 
herein, without documented prior approval may result in denial by the 
Government of responsibility for claims arising from such care.
    (a) Individual prior approval. (1) Submit requests for prior 
approval of nonemergency care (medical, dental, or maternity) from non-
Federal sources to the adjudication authority (Sec. 732.20) serving the 
geographic area where care is to be obtained. When the requirements of 
Sec. 732.14(d)(2) are met and spectacles have been obtained, request 
after-the-fact approval per this paragraph.
    (2) Submit requests on a NAVMED 6320/10. Statement of Civilian 
Medical/Dental Care, with blocks 1 through 7 and 19 through 25 
completed. Assistance in completing the NAVMED 6320/10 can be obtained 
from the health benefits advisor (HBA) at the nearest USMTF.
    (3) Upon receipt, the adjudication authority will review the request 
and, if necessary, forward it to the appropriate chief of service with 
an explanation of non-Federal care regulations pertaining to the 
request. The chief of service will respond to the request within 24 
hours. The adjudication authority will then complete blocks 26 and 27, 
and return the original of the approved/disapproved NAVMED 6320/10 to 
the member.
    (b) Blanket prior approval. (1) Recruiting offices and other 
activities far removed from USMTFs, uniformed services dental treatment 
facilities (USDTFs), designated USTFs, and VA facilities may request 
blanket approval for civilian medical and dental care of assigned active 
duty personnel. Letter requests should be submitted to the adjudication 
authority (Sec. 732.20) assigned responsibility for the geographic area 
of the requestor.
    (2) With full realization that such blanket approval is an 
authorization to obligate the Government without individual prior 
approval, adjudication authorities will ensure that:
    (i) Each blanket approval letter specifies a maximum dollar amount 
allowable in each instance of care.
    (ii) The location of the activity receiving blanket approval 
authority is clearly delineated.
    (iii) Travel distance and time required to reach the nearest USMTF, 
USDTF, designated USTF, or VA facility have been considered.
    (iv) Certain conditions are specifically excluded, e.g., psychiatric 
care and elective surgical procedures. These conditions will continue to 
require individual prior approval.
    (v) COMNAVMEDCOM (MEDCOM-333) is made an information addressee on 
each letter of authorization.
    (c) Maternity care. (1) Pregnant active duty members residing 
outside Military Health Services System (MHSS) inpatent catchment areas 
of uniformed services facilities (including USTFs), designated in 
Volumes I, II, and III of MHSS Catchment Area Directories, are permitted 
to choose whether to deliver in a closer civilian hospital or travel to 
a USMTF or USTF for delivery. If the Government is to assume financial 
responsibility for non-Federal maternity care of any member regardless 
of where she resides, the member must obtain individual prior approval 
as outlined in paragraph (a) of this section. Adjudication authorities 
should not approve requests from members residing within an inpatient 
MHSS catchment area unless:
    (i) Capability does not (did not) exist at the USMTF or other 
Federal MTF serving her catchment area.
    (ii) An emergency situation necessitated delivery or other treatment 
in a non-Federal facility (Sec. 732.16(b)).
    (2) Normal delivery at or near the expected delivery date should not 
be considered an emergency for members residing within an MHSS inpatient 
catchment area where delivery was expected to occur and, unless provided 
for in this part, will not be reason for delivery in a civilian facility 
at Government expense.
    (3) When granted leave that spans the period of an imminent 
delivery, the pregnant member should request a copy of her complete 
prenatal care

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records from the prenatal care physician. The physician should note in 
the record whether the member is clear to travel. If receiving prenatel 
care from a USMTF, the HBA will assist the member in obtaining a 
statement bearing the name of the MTF (may be an OMA) with 
administrative responsibility for the geographic area of her leave 
address, including the telephone number of the head of the patient 
administration department or HBA, if available. If a member is receiving 
prenatal care from other than a USMTF, she should avail herself of the 
services of the nearest HBA to effect the aforestated services. This 
statement should be attached to the approved leave request. In normal 
deliveries, requests for after-the-fact approval should be denied when 
members have not attempted to adhere to the provisions of this part.
    (4) Upon arrival at the designated leave address, members should 
contact the MTF indicated on the statement attached to their leave 
request. The MTF will make a determination whether the member's leave 
address falls within the inpatient catchment area of a USMTF or USTF 
with the capability of providing needed care. If no such USMTF or USTF 
exists, the member will be given the opportunity to choose to deliver in 
a civilian hospital closer to her leave address or travel to the most 
accessible USMTF or USTF with capability for maternity care.
    (5) Upon determination that civilian sources will be used for 
maternity care, the MTF listed on the attachment to the leave papers 
will inform the member that she (or someone acting in her behalf) must 
notify that MTF of the member's admission for delivery or other 
inpatient care so that medical cognizance can be initiated.
    (6) Automatically grant prior or retroactive approval, as the 
situation warrants, to members requiring maternity care while in a 
travel status in the execution of permanent change of station (PCS) 
orders.
    (d) Nonemergency care without prior approval. (1) If it becomes 
known that a member intends to seek medical or dental care (inpatient or 
outpatient) from a non-Federal source and prior approval has not been 
granted for the use of the Nonnaval Medical and Dental Care Program, the 
member must be counseled by, or in the presence of, a Medical Department 
officer. Request that the member sign a statement on an SF 600, 
Chronological Record of Medical Care, or an SF 603 or 603A, Health 
Record, Dental as appropriate, for inclusion in the member's Health 
Record. The statement must specify that counseling has been 
accomplished, and that the member understands the significance of 
receiving unauthorized civilian care. This must be accomplished when 
either personal funds or third party payor (insurance) funds are 
intended to be used to defray the cost of care. Counseling will include:
    (i) Availability of care from a Federal source.
    (ii) The requirement for prior approval if the Government may be 
expected to defray any of the cost of such care.
    (iii) Information regarding possible compromise of disability 
benefits should a therapeutic misadventure occur.
    (iv) Notification that should hospitalization become necessary, or 
other time is lost from the member's place of duty, such lost time may 
be chargeable as ``ordinary leave.''
    (v) Notification that the Government cannot be responsible for out-
of-pocket expenses which may be required by the insurance carrier or 
when the member does not have insurance which covers the cost of 
contemplated care.
    (vi) Direction to report to a uniformed services medical officer 
(preferably Navy) upon completion of treatment for determination of 
member's fitness for continued service.
    (2) If it becomes known that a member has already received non-
Federal medical care without prior authorization, refer the member to a 
uniformed services medical officer (preferably Navy) to determine 
fitness for continued service. At this time, counseling measures 
delineated in paragraph (d)(1)(iii), (iv), and (v) of this section must 
be taken.



Sec. 732.18  Notification of illness or injury.

    (a) Member's responsibility. (1) If able, members must notify or 
cause their

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parent command, the nearest naval activity, or per OPNAVINST 6320.6, the 
nearest U.S. Embassy or consulate when hospitalized in a foreign medical 
facility to be notified as soon as possible of the circumstances 
requiring medical or dental attention in a non-Federal facility. The 
member will also assure (request the facility to make notification if 
unable to do so personally) that the following information is passed to 
the adjudication authority serving the area of the source of care 
(Sec. 732.20). This notification is in addition to the requirements of 
article 4210100 of the Military Personnel Command Manual (MILPERSMAN) or 
Marine Corps Order 6320.3B, as appropriate. The adjudication authority 
will then arrange for transfer of the member and, if appropriate, 
newborn infant(s), to a Federal facility or for such other action as is 
appropriate.
    (i) Name, grade or rate, and social security number of patient.
    (ii) Name of non-Federal medical or dental facility rendering 
treatment.
    (iii) Date(s) of such treatment.
    (iv) Nature and extent of treatment or care already furnished.
    (v) Need or apparent need for further treatment (for maternity 
patients, need or apparent need for further care of infant(s) also).
    (vi) Earliest date on which transfer to a Federal facility can be 
effected.
    (vii) Telephone number of attending physician and patient.
    (2) Should movement be delayed due to actions of the member or the 
member's family, payment may be denied for all care received after 
provision of written notification by the adjudication authority.
    (3) The denial is Sec. 732.18(a)(2) will be for care received after 
the member's condition has stabilized and after the cognizant 
adjudication authority has made a request to the attending physician and 
hospital administration for the member's release from the civilian 
facility. This notification must specify:
    (i) Date and time the Navy will terminate its responsibility for 
payment.
    (ii) That care rendered subsequent to receipt of the written 
notification is at the expense of the member.
    (b) Adjudication authority. As soon as it is ascertained that a 
member is being treated in a nonnaval facility, adjudication authorities 
must make the notifications required in MILPERSMAN, article 4210100.11. 
See part 728 of this chapter on message drafting and information 
addressees.
    (1) Article 4210100.11 of the MILPERSMAN requires submission of a 
personnel casualty report, by priority message, to the primary and 
secondary next of kin (PNOK/SNOK) of Navy members seriously or very 
seriously ill or injured, and on those terminally ill (diagnosed and 
confirmed). While submission of the personnel casualty report to the 
PNOK and SNOK is a responsibility of the member's command, adjudication 
authorities must advise the member's command when such a member is being 
treated or diagnosed by non-Federal sources. The message will also 
request forwarding of the member's service and medical records to the 
personnel support detachment (PSD) supporting the activity in which the 
OMA is located. Additionally, the notification should contain a request 
for appropriate orders, either temporary additional duty (TEMADD) or 
temporary duty (TEMPDU).
    (i) Request TEMADD orders if care is expected to terminate within 
the time constraints imposed for these orders.
    (ii) Request TEMDU Under Treatment orders for members hospitalized 
in a NMTF within the adjudication authority's area of responsibility.
    (2) Make prompt message notification to the member's commanding 
officer when apprised of any medical condition, including pregnancy, 
which will now or in the foreseeable future result in loss of a member's 
full duty services in excess of 72 hours. Mark the message ``Commanding 
Officer's Eyes Only.''



Sec. 732.19  Claims.

    (a) Member's responsibility. Members receiving care are responsible 
for preparation and submission of claims to the cognizant adjudication 
authority identified in Sec. 732.20. A complete claim includes:
    (1) NAVMED 6320/10, Statement of Civilian Medical/Dental Care. In 
addition to its use as an authorization document, the original and three 
copies of a

[[Page 356]]

NAVMED 6320/10 are required to adjudicate claims in each instance of 
sickness, injury, or maternity care when treatment is received from a 
non-Federal source under the provisions of this part. The form should be 
prepared by a naval medical or dental officer, when practicable, by the 
senior officer present where a naval medical or dental officer is not on 
duty, or by the member receiving care when on detached duty where a 
senior officer is not present.
    (i) For nonemergency care with prior approval, submit the NAVMED 
6320/10 containing the prior approval, after completing blocks 8 through 
18.
    (ii) For emergency care (or nonemergency care without prior 
approval), submit a NAVMED 6320/10 after completing blocks 1 through 18. 
Assure that the diagnosis is listed in block 10. If prior approval was 
not obtained, state in block 11 circumstances necessitating use of non-
Federal facilities.
    (iii) Signature by the member in block 17 implies agreement for 
release of information to the responsible adjudication authority 
receiving the claim for processing. Signature by the certifying officer 
in block 18 will be considered certification that documentation has been 
entered in the member's Health Record as directed in article 16-24 of 
MANMED.
    (2) Itemized bills. The original and three copies of itemized bills 
to show:
    (i) Dates on or between which services were rendered or supplies 
furnished.
    (ii) Nature of and charges for each item.
    (iii) Diagnosis.
    (iv) Acknowledgment of receipt of the services or supplies on the 
face of the bill or by separate certificate. The acknowledgment must 
include the statement. ``Services were received and were satisfactory.''
    (3) Claims for reimbursement. To effect reimbursement, also submit 
the original and three copies of paid receipts and an SF 1164. Claim for 
Reimbursement for Expenditures on Official Business, completed per 
paragraphs 046377-2 a and b of the Naval Comptroller Manual (NAVCOMPT 
MAN).
    (4) Notice of eligibility (NOE) and line of duty (LOD) 
determination. When a reservist claims benefits for care received 
totally after the completion of either an active duty or active duty for 
training period, the claim should also include:
    (i) An NOE issued per SECNAVINST 1770.3.
    (ii) An LOD determination from the member's commanding officer.
    (b) Adjudicating authority's responsibility. Reviewing and 
processing properly completed claims and forwarding approved claims to 
the appropriate disbursing office should be completed within 30 days of 
receipt. Advice may be requested from COMNAVMEDCOM (MEDCOM-333 (A/V 294-
1127)) for medical or MEDCOM-06 (A/V 294-1250)) for dental on unusual or 
questionable instances of care. Advise claimants of any delay 
experienced in processing claims.
    (1) Review. The receiving adjudication authority will carefully 
review each claim submitted for payment or reimbursement to verify 
whether:
    (i) Claimant was entitled to benefits (i.e., was on active duty, 
active duty for training, inactive duty training, was not an 
unauthorized absentee, etc.). As required by part 728 of this chapter, a 
Defense Enrollment Eligibility Reporting System (DEERS) eligibility 
check must be performed on claims to all claimants required to be 
enrolled in DEERS.
    (ii) Care rendered was due to a bona fide emergency. (Note: When 
questions arise as to the emergency nature of care, forward the claim 
and all supporting documentation to the appropriate clinical specialist 
at the nearest naval hospital for review.)
    (iii) Prior approval was granted if a bona fide emergency did not 
exist. (Note: If prior approval was not obtained and the condition 
treated is determined to have been nonemergent, the claim may be 
denied.) Consideration should always be given to cases that would have 
received prior approval but, due to lack of knowledge of the program, 
the member did not submit a request.
    (iv) Care rendered was authorized under the provisions of this part.

[[Page 357]]

    (v) Care rendered was appropriate for the specific condition 
treated. (NOTE: When questions arise regarding appropriateness of care, 
forward all documentation to a clinical specialist at the nearest naval 
hospital for review. If care is determined to have been inappropriate, 
the claim may be denied to the extent the member was negligent.)
    (vi) Claimed benefits did not result from a referral by a USMTF. If 
the member was an inpatient or an outpatient in a USMTF immediately 
prior to being referred to a civilian source of care, the civilian care 
is supplemental and may be the responsibility of the referring USMTF. 
See Sec. 732.11(p) for the definition of supplemental care.
    (2) Dispproval. If a determination is made to disapprove a claim, 
provide the member (and provider of care, when applicable) a prompt and 
courteous letter stating the reason for the disapproval and the 
appropriate avenues of appeal as outlined in Sec. 732.24.
    (3) Processing. Subpart C contains the chargeable accounting 
classifications and Standard Document Numbers (SDN) to be cited on the 
NAVCOMPT 2277, Voucher for Disbursement and/or Collection, on an SF 1164 
submitted per paragraph (a)(3) of this section, and on supporting 
documents of approved claims before submission to disbursing offices.
    (i) For payment to providers of care, a NAV COMPT 2277 will be 
prepared and certified approved for payment by the adjudicating 
authority. This form must accompany the NAVMED 6320/10 and supporting 
documentation per paragraph 046393-1 of the NAVCOMPTMAN.
    (ii) Where reimbursement is requested, the SF 1164 submitted per 
Sec. 732.19(a)(3) will be completed, per paragraph 046377 of the 
NAVCOMPTMAN, and certified approved for payment by the adjudicating 
authority. This form must accompany the NAVMED 6320/10 and supporting 
documentation.
    (c) Amount payable. Amounts payable are those considered reasonable 
after taking into consideration all facts. Normally, payment should be 
approved at rates generally prevailing within the geographic area where 
services or supplies were furnished. Although rates specially 
established by the Veterans Administration, CHAMPUS, or those used in 
Medicare are not controlling, they should be considered along with other 
facts.
    (1) Excessive charges. If any charge is excessive, the adjudication 
authority will advise the provider of care of the conclusion reached and 
afford the provider an opportunity to voluntarily reduce the amount of 
the claim. If this does not result in a proper reduction and the claim 
is that of a physician or dentist, refer the difference in opinions to 
the grievance committee of the provider's professional group for an 
opinion of the reasonableness of the charge. If satisfactory settlement 
of any claim cannot thus be made, forward all documentation to 
COMNAVMEDCOM (MEDCOM-333) for decision. Charges determined to be above 
the allowed amount or charges for unauthorized services are the 
responsibility of the service member.
    (2) Third party payment. Do not withhold payment while seeking funds 
from health benefit plans or from insurance policies for which premiums 
are paid privately by service members (see Sec. 732.22 for possible 
recovery of payments action).
    (3) No-fault insurance. In States with no-fault automobile insurance 
requirements, adjudication authorities will notify the insurance carrier 
identified in item 16 of the NAVMED 6320/10 that Federal payment of the 
benefits in this part is secondary to any no-fault insurance coverage 
available to the potentially covered member.
    (d) Duplicate payments. Adjudication authorities and disbursing 
activities should take precautions against duplicate payments per 
paragraph 046073 of the NAVCOMPTMAN.



Sec. 732.20  Adjudication authorities.

    (a) General. Controlling activities for medical care in the United 
States are designated as ``offices of medical affairs'' (OMA) and for 
dental care, ``offices of dental affairs'' (ODA). NAVMEDCOMINST 6010.3 
delineates responsibilities and functional tasks of OMAs and ODAs, 
including monthly reporting of receipt of claims and claims payment. 
Commanders of geographic

[[Page 358]]

naval medical commands must communicate with all activities in their 
regions to ensure that messages and medical cognizance reports are 
properly furnished per higher authority directives.
    (b) Within the United States (less Hawaii). For the 48 contiguous 
United States, the District of Columbia, and Alaska, the following six 
regions are responsible for care rendered or to be rendered within their 
areas of responsibility.
    (1) Northeast Region. The States of Connecticut, Delaware, Illinois, 
Indiana, Iowa, Kentucky, Maine, Massachusetts, Michigan, Minnesota, 
Missouri, New Hampshire, New Jersey, New York, Ohio, Pennsylvania, Rhode 
Island, Vermont, and Wisconsin are served by 1 ODA and 1 OMA:
    (i) Responsibility for dental matters for States in the Northeast 
Region is vested in: Commander, Naval Medical Command, Northeast Region, 
Office of Dental Affairs, Great Lakes, IL 60088, Tele: (A/V) 792-3940 or 
(C) (312) 688-3940.
    (ii) Responsibility for medical matters for States in the Northeast 
Region is vested in: Commander, Naval Medical Command, Northeast Region, 
Office of Medical Affairs, Great Lakes, IL 60088, Tele: (A/V) 792-3950 
or (C) (312) 688-3950.
    (2) National Capital Region. For the States of Maryland and West 
Virginia; the Virginia counties of Arlington, Fairfax, Loudoun, and 
Prince William; the Virginia cities of Alexandria, Falls Church, and 
Fairfax; and the District of Columbia, responsibility for medical and 
dental matters is vested in: Commander, Naval Medical Command, National 
Capital Region, Office of Medical Affairs, Bethesda, MD 20814, Tele: (A/
V) 295-5322 or (C) (301) 295-5322.
    (3) Mid-Atlantic Region. For the States of North Carolina, South 
Carolina, and all areas of Virginia south and west of Prince William and 
Loudoun counties, responsibility for medical and dental matters is 
vested in: Commander, Naval Medical Command, Mid-Atlantic Region, 6500 
Hampton Boulevard, Norfolk, VA 23502, Attn: Office of Medical/Dental 
Affairs, Tele: (A/V) 565-1074/1075 or (C) (804) 445-1074 or 1075.
    (4) Southeast Region. For the States of Alabama, Arkansas, Florida, 
Georgia, Louisiana, Mississippi, Oklahoma, Tennessee, and Texas, medical 
and dental responsibilities are vested in: Commanding Officer, Naval 
Medical Clinic, Code O1A, New Orleans, LA 70146, Tele: (A/V) 485-2406/7/
8 or (C) (504) 361-2406 2407 or 2408.
    (5) Southwest Region. For the States of Arizona and New Mexico; the 
counties of Kern, San Bernadino, San Luis Obispo, Santa Barbara, and all 
other California counties south thereof; the community of Bridgeport, 
California (Marine Corps cold-weather training site); and Nevada, except 
for NAS Fallon and its immediate area; medical and dental 
responsibilities are vested in: Commander, Naval Medical Command, 
Southwest Region, Office of Medical Affairs, San Diego, CA 92134-7000, 
Tele: (A/V) 987-2611 or (C) 233-2611.
    (6) Northwest Region. The States of Alaska, Colorado, Idaho, Kansas, 
Montana, Nebraska, North Dakota, Oregon, South Dakota, Utah, Washington, 
and Wyoming; the counties of Inyo, Kings, Tulare, and all other counties 
of California north thereof; and NAS Fallon, Nevada and its immediate 
area are served by 2 OMAs and 1 ODA:
    (i) Responsibility for dental matters for the area of responsibility 
of the Northwest Region is vested in: Commander, Naval Medical Command, 
Northwest Region, Office of Dental Affairs, Oakland, CA 94267-5025, 
Tele: (A/V) 855-6200 or (C) (415) 633-6200.
    (ii) Responsibility for medical matters for the States of Colorado, 
Kansas, and Utah; the California counties of Inyo, Kings, Tulare, and 
all other counties of California north thereof; and NAS Fallon, Nevada 
and its immediate area is vested in: Commander, Naval Medical Command, 
Northwest Region, Oakland, CA 94627-5025, Attn: Office of Medical 
Affairs, Tele: (A/V) 855-5705 or (C) (415) 633-5705.
    (iii) Responsibility for medical matters for the States of Alaska, 
Idaho, Montana, Nebraska, North Dakota, Oregon, South Dakota, 
Washington, and Wyoming is vested in: Commanding Officer, Naval Medical 
Clinic, Naval Station, Seattle, WA 98115, Attn: Office of Medical 
Affairs, Tele: (A/V) 941-3823 or (C) (206) 526-3823.

[[Page 359]]

    (c) Outside the United States (plus Hawaii). For all areas outside 
the United States plus Hawaii, the following activities are vested with 
responsibility for approval or disapproval of requests and claims for 
maternity, medical, and dental care:
    (1) Executive Director, OCHAMPUSEUR, U.S. Army Medical Command, APO 
New York 09102, for care rendered within the U.S. European Command, 
Africa, the Malagasy Republic, and the Middle East.
    (2) Commanding Officer, U.S. Naval Hospital, FPO San Francisco 
96652-1600 (U.S. Naval Hospital, Subic Bay, Luzon, Republic of the 
Philippines), for care rendered in Afghanistan, Bangladesh, Hong Kong, 
India, Nepal Pakistan, the Philippines, Southeast Asia, Sri Lanka and 
Taiwan.
    (3) Commanding Officer, U.S. Naval Hospital, FPO Seattle 98765-1600 
(U.S. Naval Hospital, Yokosuka, Japan), for care rendered in Japan, 
Korea, and Okinawa.
    (4) Commanding Officer, U.S. Naval Hospital, FPO San Francisco 
96630-1600 (U.S. Naval Hospital, Guam, Mariana Islands), for care 
rendered in New Zealand and Guam.
    (5) Commanding Officer, U.S. Naval Communications Station, FPO San 
Francisco 96680-1800 (U.S. Naval Communications Station, Harold E. Holt, 
Exmouth, Western Australia), for care rendered in Australia.
    (6) Commanding Officer, U.S. Naval Air Station, FPO New York 09560 
(U.S. Naval Air Station, Bermuda), for care rendered in Bermuda.
    (7) Commanding Officer, U.S. Naval Hospital, FPO Miami 34051 (U.S. 
Naval Hospital, Roosevelt Roads, Puerto Rico), for maternity and medical 
care, and Commanding Officer, U.S. Naval Dental Clinic, FPO Miami 34051 
(U.S. Naval Dental Clinic, Roosevelt Roads, PR), for dental care 
rendered in Puerto Rico, the Virgin Islands, and other Caribbean 
Islands.
    (8) Commanding Officer, Naval Medical Clinic, Box 121, Pearl Harbor, 
HI 96860, for maternity and medical care, and Commanding Officer, Naval 
Dental Clinic, Box 111, Pearl Harbor, HI 96860, for dental care rendered 
in the State of Hawaii, Midway Island, and the Central Pacific basin.
    (9) The OMA for either the Southeast Region or the Southwest Region 
for care rendered in Mexico to members stationed within the respective 
areas of responsibility of these OMAs. Forward claims for care rendered 
in Mexico to all other personnel to Commander, Naval Medical Command, 
Washington, DC 20372-5120 (MEDCOM-333).
    (10) Commander, Naval Medical Command, Washington, DC 20372-5120 
(MEDCOM-333) for inpatient and outpatient emergency and nonemergency 
care of active duty Navy and Marine Corps members in Canada and under 
the circumstances outlined in paragraph (d) of this section.
    (11) Outside the 50 United States, commanding officers of 
operational units may either approve claims and direct payment by the 
disbursing officer serving the command or forward claims to the 
appropriate naval medical command in paragraphs (b)(1) through (c)(9) of 
this section. This is a local policy decision to enhance the maintenance 
of good public relations.
    (12) The appropriate command in paragraphs (b)(1) through (c)(9) of 
this section for care rendered aboard commercial vessels en route to a 
location within the geographic areas listed.
    (13) The commanding officer authorizing care in geographical areas 
not specifically delineated elsewhere in this section.
    (d) The Commander, Naval Medical Command (MEDCOM-333), Navy 
Department, Washington, DC 20372-5120. Under the following 
circumstances, responsibility is vested in COMNAVMEDCOM for adjudication 
of claims:
    (1) For reservists who receive treatment after completion of their 
active duty or inactive duty training as prescribed in Sec. 732.12(b).
    (2) For care rendered in Mexico to personnel stationed outside the 
areas of responsibility of the Southeast and Southwest Regions.
    (3) For care rendered to members stationed in or passing through 
countries in Central and South America.
    (4) For outpatient care rendered NATO active duty members.
    (5) When Departmental level review is required prior to approval, 
adjudication, or payment. These claims:
    (i) Will be considered on appeal.

[[Page 360]]

    (ii) Must be forwarded by the member through the adjudication 
authority chain of command (In instances of unusual or controversial 
denial of claims, the adjudication authority may forward claims to 
COMNAVMEDCOM on appeal, via the chain of command, with notification to 
the member.).
    (6) For all inpatient and outpatient care of active duty Navy and 
Marine Corps members stationed in the United States who receive care in 
Canada.



Sec. 732.21  Medical board.

    When adjudication authorities uncover conditions which may be 
chronic or otherwise potentially disabling, they should make a 
determination (with help from appropriate clinical specialists) as to 
the need for a medical board. Chapter 18 of MANMED and Medical 
Disposition and Physical Standards Notes, available from COMNAVMEDCOM 
(MEDCOM-25), provide guidance.
    (a) Chronic conditions requiring a medical board include (but are 
not limited to):
    (1) Arthritis,
    (2) Asthma,
    (3) Diabetes,
    (4) Gout,
    (5) Heart disease,
    (6) Hypertension,
    (7) Peptic ulcer disease,
    (8) Psychiatric conditions, and
    (9) Allergic conditions requiring desensitization.
    (b) Other potentially disabling or chronic conditions may be 
referred to a medical board by the adjudication authority with the 
concurrence of an appropriate naval clinical specialist and the 
commander of the regional medical command.



Sec. 732.22  Recovery of medical care payments.

    Adjudication authorities must submit evidence of payment to the 
action JAG designee per chapter 24 of the Manual of the Judge Advocate 
General (JAGMAN), in each instance of payment where a third party may be 
legally liable for causing the injury or disease treated, or when a 
Government claim is possible under workers compensation, no-fault 
insurance, or under medical payments insurance (all automobile accident 
cases).
    (a) To assist in identifying possible third party liability cases, 
item 16 of each NAVMED 6320/10 must be completed whenever benefits are 
received in connection with a vehicle accident. Adjudication authorities 
should return for completion, as applicable, any claim received without 
item 16 completed.
    (b) The front of a NAVJAG Form 5890/12 (Hospital and Medical Care, 
3rd Party Liability Case) must be completed and submitted by 
adjudication authorities with evidence of payment. Block 4 of this form 
requires an appended statement of the patient or an accident report, if 
available. To ensure that Privacy Act procedures are accomplished and 
documented, the person securing such a statement from a recipient of 
care must show the recipient the Privacy Act statement printed at the 
bottom of the form prior to securing such a statement. The member should 
be asked to sign his or her name beneath the statement.
    (c) For care rendered in States with no-fault insurance laws, comply 
with procedures outlined in Sec. 732.19(c)(3).



Sec. 732.23  Collection for subsistence.

    The Navy Pay and Personnel Procedures Manual provides guidance 
regarding pay account checkage procedures to liquidate subsistence 
charges incurred by members entitled to care under the provisions of 
this part. Such members must also be entitled to basic allowance for 
subsistence (BAS) while hospitalized at Government expense. The 
responsible activity (the adjudication authority or the naval MTF to 
which such a member is transferred) should follow procedures outlined in 
the Navy Pay and Personnel Procedures Manual when an eligible officer or 
enlisted member of the naval service is subsisted at Department of the 
Navy expense while hospitalized in a nonnaval treatment facility. 
Subpart C contains the creditable accounting classification for 
inpatient subsistence collections.



Sec. 732.24  Appeal procedures.

    When a claim for care or a request for prior approval for 
nonemergency

[[Page 361]]

care is initially denied by an adjudication authority, the member may 
appeal the denial as outlined below. Any level in the appeal process may 
over-rule the previous decision and order payment of the claim in whole 
or in part or grant the request for prior approval of care.
    (a) Level I--Reconsideration by the adjudication authority making 
the initial denial. The member should submit any additional information 
that may mitigate the initial denial.
    (b) Level II--Consideration by the commander of the regional medical 
command having cognizance over the adjudication authority which upheld 
the initial denial on reconsideration.
    (c) Level III--Consideration by COMNAVMEDCOM (MEDCOM-333).



 Subpart C--Accounting Classifications for Nonnaval Medical and Dental 
               Care Expenses and Standard Document Numbers



Sec. 732.25  Accounting classifications for nonnaval medical and dental care expenses.

----------------------------------------------------------------------------------------------------------------
                       OBJ.**
 Approp.    Sub-Head   Class     BCN   SA    AAA       TT         PAA           Cost Code            Purpose
----------------------------------------------------------------------------------------------------------------
  17*1804  188M           000   00018   M   000179  2D       MDQ000        990010000MDQ         Outpatient Care
                                                                                                 Service
                                                                                                 Expenses.\1\ \2
                                                                                                 \
  17*1804  188M           000   00018   M   000179  2D       MDT000        990010000MDT         Outpatient Care
                                                                                                 Supply
                                                                                                 Expenses.\1\ \3
                                                                                                 \
  17*1804  188M           000   00018   M   000179  2D       MDE000        990010000MDE         Ambulance
                                                                                                 Expenses.\1\
  17*1804  188M           000   00018   M   000179  2D       MDQI00        990020000MDQ         Inpatient Care
                                                                                                 Service
                                                                                                 Expense.\1\ \2\
  17*1804  188M           000   00018   M   000179  2D       MDTI00        990020000MDT         Inpatient Care
                                                                                                 Supply
                                                                                                 Expenses.\1\ \3
                                                                                                 \
  17*1804  188M           006   00018   M   000179  3C       MDZI00        990020000MDZ         Inpatient
                                                                                                 Subsistence
                                                                                                 Collections.\1\
----------------------------------------------------------------------------------------------------------------
Notes:
*For the third digit of the appropriation, enter the last digit of the fiscal year current at the time claim is
  approved for payment.
**Refer to NAVCOMPT Manual par. 027003 for appropriate Expenditure Category Codes when disbursement or
  collection involves a foreign or U.S. Contractor abroad.
 
\1\ Not applicable when care is procured from non-DOD sources for a patient receiving either inpatient or
  outpatient care at a naval medical facility. In such instances, the expenses incurred are payable from
  operations and maintenance funds available for support of the naval medical facility.
\2\ Service expenses include: hospital, emergency room clinic, office fees; physician and dentist professional
  fees; laboratory, radiology, operating room, anesthesia, physical therapy, and other services provided.
\3\ Supply expenses include: medications and pharmacy charges; IV solutions; whole blood and blood products;
  bandages; crutches; prosthetic devices; needles and syringes; and other supplies provided.



Sec. 732.26  Standard document numbers.

    Adjudication authorities will assign to each claim approved for 
payment, a unique 15 position alpha/numeric standard document number 
(SDN). Prominently display this number on the NAVMED 6320/10, the 
NAVCOMPT 2277 (Voucher for Disbursement and/or Collection), NAVCOMPT 
1164 (Claim for Reimbursement for Expenditures on Official Business) and 
on all other documentation accompanying claims. Compose SNDs per the 
following example: N0016887MD00001 or N0016887RV00001.

[[Page 362]]



 
                                                                  1      2 thru 6     7 & 8       9 & 10      11 thru 15
                                              Position Entry   ------------------------------------------------------------
                                                                  N       00168         87       MD or RV        00001
--------------------------------------------------------------------------------------------------------------------------------------------------------
 


------------------------------------------------------------------------
             Position                            Data entry
------------------------------------------------------------------------
1.................................  ``N'' identifies Navy.
2 thru 6..........................  Unit Identification Code of document
                                     issuing activity.
7 and 8...........................  Last two digits of the fiscal year
                                     in which the claim is approved for
                                     payment.
9 and 10,.........................  For NAVCOMPT 2277s, ``MD''
                                     identifies the document as
                                     Miscellaneous Financial Document.
 or,                                ....................................
9 and 10..........................  For SF 1164s, ``RV'' identifies the
                                     document as a Reimbursement
                                     Voucher.
11 thru 15........................  Consecutively assigned five digit
                                     serial number beginning with
                                     ``00001'' each fiscal year. Each
                                     subsequent claim will then be
                                     serially numbered ``00002'',
                                     ``00003'', etc.
------------------------------------------------------------------------