ATTENTION - Due to the upcoming transition to MHS GENESIS the UBO is expected to undergo delays to the billing process after Oct. 1 - ATTENTION

Patient Resources

Uniform Business Office (UBO)

The Landstuhl Regional Medical Center (LRMC) Consolidated Uniform Business Office (UBO) provides Military Treatment Facility (MTF) medical billing services for the Europe Region. On behalf of the LRMC organization, our mission is to optimize allowable health care cost recovery within compliance guidelines in support of the operational and readiness mission of the MHS.
The UBO supports the TRICARE managed care programs by providing tools and policies to enhance and improve the effectiveness of the financial and collection operations. Additionally, the UBO supports managing and expediting collections from patients and third party insurers; supports consistent and uniform reporting of expense, manpower and workload data, and enhancing third party reimbursements.
LRMC UBO will submit medical claims to your health insurance provider if provided the health insurance information. UBO Collects this information through the receipt of a DD 2569 form and or front and back copies of health insurance cards.

Pay Your Bill Online

You can pay your bill online through the US Treasury “” website. On “”, you can pay using credit card, debit card, or ACH, which is direct debit using your banking routing and account information. If you choose to make a payment online, please allow 5-7 business days for processing.

If you are paying your bill directly to Ramstein, Search “Ramstein” on the Pay.Gov website and Select “Ramstein AB 86th Medical Group” or visit:

Notice to Customers Making Payment by Check

 When you provide a check as payment, you authorize us either to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction.
 Privacy Act – A Privacy Act Statement required by 5 U.S.C. § 552a(e)(3) stating our authority for soliciting and collecting the information from your check, and explaining the purposes and routine uses which will be made of your check information, is available from our internet site at (, or call toll free at (1-866-945-7920) to obtain a copy by mail. Furnishing the check information is voluntary, but a decision not to do so may require you to make payment by some other method.


Payments by credit or debit card <18 Months

Payments will be refunded to the original card provided.  Once the refund is processed, you will receive a confirmation email and the credited amount will post to your account in 3-5 business days.

Payments by credit or debit card >18 Months

Payment cannot be refunded to your original card but will be processed as a check from the US Treasury Dept.  The process for Treasury checks typically takes 6-8 weeks.​
***Please note, the US Treasury Dept. cannot issue checks to an overseas address therefore you must provide customer service with either an APO or stateside address.***


Are you a TRICARE Beneficiary? If so, do you have Other Health Insurance (OHI) than TRICARE?

 As part of the Third Party Collection Program, we will bill your insurance carrier for medical services rendered in our facilities at no cost to you. Funds collected from your Other Health Insurance (OHI) will help offset the cost of the taxpayer’s dollars and can help the facilities improve their delivery of healthcare. If you have OHI, please fill out form DD 2569, attach a copy of your insurance card (front & back), and email both to OR drop it off in our office at Building 3700, 4th floor. This form must be updated annually. 
Please be aware, medical services rendered in one of our overseas facilities are not covered by Medicare or Medicaid even though they are United States Military Treatment Facilities. Please contact our customer service team for further information regarding our medical billing services.

Are you wondering why you haven't been billed for services?

We continue to have a significant volume of returned mail. Most returned mail comes back without a forwarding address. In these cases, the only way for the accounts to be closed is if they are transferred for payroll deduction or administrative offset.


Please send an email with your new billing address to the RHCE UBO at 

Contact Us

DSN Phone:


CIV Phone:



Monday – Thursday 0900 -1500
Closed Fridays for Training & Federal Holidays




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