Charges not properly payable from Army funds may be deleted from the statement,
initialed by the approving authority, and the remaining charges processed for payment.
The civilian agency is advised by letter of the reason for deleting the charges.
a. Charges for services performed by those practitioners stated in paragraph 17-
2b(2), AR 40-3 are supported by the authorization (or copy thereof) of the licensed
practitioner requesting the services. When additional visits on the same date are made by
civilian physicians or when more than one physician provides care for a patient, this should
be explained. Charges for personal time for patients, such as cigarettes, personal
telephone calls, television, and meals for visitors, are not payable from Army funds.
b. When part of the necessary expense, official telephone and telegraph charges
incurred by civilian agencies in connection with medical care of authorized personnel are
included on their vouchers. A statement showing the points between which the service was
rendered, the date, the amount paid for each service, and an assertion that the telegrams
or calls were on official business is required. For local telephone calls, the voucher lists
the number of such calls, rates per call, the total daily amount expended, and a statement
stating the calls were on official business.
c. Charges for professional services by physicians or nurses who are not members
of the hospital or clinic staff are not included on a voucher in the name of the facility but are
vouchered in the name of the provider, except where the hospital or clinic has already paid
for the services. If a hospital or clinic has paid a physician or nurse who is not a staff
member, such charges may be included in the bill but must be accompanied by a
receipted bill showing payment by the facility. Hospital bills for professional services by
physicians, anesthetists, or nurses employed by the hospital will be annotated to reflect that
the provider was a "salaried member of the staff."
d. Charges for nursing care will identify the place where the services were
rendered, the number of hours served daily, and the number of days or nights served.
e. Required items incident to treatment, such as crutches and special therapy,
must be listed separately.
f. Charges for dental services must show each service rendered, such as
extraction, restoration, treatment, etc., and the charge for each. Each tooth involved must
g. Bills for ambulance service must show mileage and the rate per mile or the flat
rate, as the case may be.