Which organization pays for network care by MTF enrolled patients?

• A. MCSC
• B. TRICARE
• C. RMC
• D. PAD

Answer: (A)

Think about how TRICARE routes payments for different types of care. When patients receive care directly at DoD military treatment facilities, that care is funded and paid by the Department of Defense. For care obtained in the TRICARE network (the civilian providers), especially for beneficiaries enrolled in an MTF program, the payments are handled by the Managed Care Support Contractor. This contractor administers the network, handles claims, and pays the civilian providers that deliver that network care.

So, the entity responsible for paying network care claims for MTF-enrolled patients is the Managed Care Support Contractor. Regional contractors oversee operations in their area, but they don’t serve as the direct payer for these network claims, and PAD isn’t part of this payment flow.