Privacy Act of 1974; System of Records

The Defense Health Agency proposes to alter an existing system of records, EDTMA 04, entitled ``Medical/Dental Claim History Files'' in its inventory of record systems subject to the Privacy Act of 1974, as amended. The Defense Health Agency and its contractors and DoD staff (including Military Treatment Facilities, clinics and TRICARE Regional Offices Staff) use the information to control and process health care benefits available under TRICARE and the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA), including the processing of medical or dental claims, the control and approval of medical or dental treatments, issuance of deductible certificates, and necessary interface with providers of health care. The system also supports audits of contractor-processed claims to determine payment and occurrence accuracy of the contractor's adjudication process.