Enclosure (6) to COMDTINST 7310.1J
STANDARD RATES FOR OUTPATIENT VISITS
All authorized Coast Guard and DoD beneficiaries provided care in Coast Guard medical treatment
facilities are entered in the Composite Health Care System (CHCS). CHCS generates monthly DD Form
7A (Part B): Outpatient Treatment Furnished reports based on Outpatient Itemized Billing Methodology.
Commandant (CG-10) is solely responsible for extracting, auditing and validating DD7A bills for each of
the military service's within DoD. The Coast Guard Finance Center then bills the appropriate Uniformed
Service in accordance with the annually updated, inter-agency rates published in the Federal Register and
the procedure established in existing Memorandums of Agreement (MOA).
Routine medical care should not be furnished to personnel other than those specifically entitled by Title
10, United States Code. Non-routine care will be billed on a case-by-case basis, depending on actual
circumstances, in accordance with the procedures outlined above.
Contact Commandant (CG-10) for further guidance.
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