The objective of the medical affirmative claims program is to assist which party in recovering the cost of medical care caused by a third party?

• A. Staff judge advocate in attempting to recover the cost of providing medical care to individuals whose injury or disease was caused by a third party
• B. MDG/CC in collecting vital data to determine precisely how our beneficiaries are using medical care
• C. MDG/CC in attempting to recover the cost of providing medical care to individuals whose injury or disease was caused by a third party
• D. MDG/CC in collecting vital data to determine precisely how our beneficiaries are using medical care

Answer: (A)

Cost recovery from third parties through a legal process is what the medical affirmative claims program is about. This program is designed to support the Staff Judge Advocate in pursuing reimbursement for the medical care provided to individuals whose injuries or illnesses were caused by someone else. The Staff Judge Advocate handles the legal aspects, claims, and negotiations with the responsible party or their insurer to recover those costs, returning funds to the medical system. In contrast, the Medical Group Commander’s role centers on administering care and analyzing how beneficiaries use medical services, not on pursuing third-party reimbursements. So the best choice is the one that describes assistance to the Staff Judge Advocate in recovering medical care costs from a third party.