| Name | Value |
|---|---|
| NAME | DOD TRAUMATIC BRAIN INJURY |
| BILL NAME | DOD TRAUMATIC BRAIN INJURY |
| ABBREVIATION | TR TBI |
| IS THIS A THIRD PARTY BILL? | YES |
| ACCOUNTS RECEIVABLE CATEGORY | TRICARE TBI |
| WHO'S RESPONSIBLE | INSURER |
| REIMBURSABLE INSURANCE? | YES |
| NSC STATEMENT ON UB BILLS | YES |
| ELECTRONIC TRANSMIT | ALLOWED |
| BILL RESULTING FROM | HI |