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Medical Affirmative Claims

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What is Medical Affirmative Claims?

The Mission of the Medical Affirmative Claims (MAC) is to enact the Federal Claims Collection Act (31 U.S.C. 3711-3720A), (42 U.S.C. 2651-2653) and 4 CFR 101-105. The goal of the MAC is to recover the reasonable value of medical care rendered for injuries or illnesses provided at Government expense to DoD beneficiaries under circumstances creating third party tort liability.

If you were involved in any type of accident in which a liability may be involved, i.e., motor vehicle accident, animal bite, product liability, slip & fall, or workers' compensation, your claim will fall under the jurisdiction of the ERMC Staff Judge Advocate. If you are seen at any of our clinics for an injury, notify the front desk clerk and your provider.

Who can be a MAC Candidate?

Any DoD Beneficiary who is injured at the fault of a third party. The circumstances surrounding the injury could be a motor vehicle accident, assault, on-the-job injury or other incident resulting in personal injury.

A DoD Beneficiary is any person eligible for benefits and authorized treatment in a Uniformed Services facility pursuant to Title 10, United States Code, Section 1074 (see Appendix 9 for the most recent version of this Federal statute) and paragraphs (a) and (b) of Title 10, United States Code, Section 1076.

What to do if you've been injured

  • Inform your provider and the clinic if you have been injured
  • Contact Mannheim Claims Office and supply them with
    • Date of Injury
    • Nature of Injury
    • Location/Place of Injury
    • Who you feel may be the liable party
    • Police/injury reports
    • Any related visits to a civilian provider
  • Inform your provider at all subsequent visits if your visit is related to your injury