BY ORDER OF THE
SECRETARY OF THE AIR FORCE
AIR FORCE INSTRUCTION 41-102
25 JUNE 2020
Health Services
MEDICAL EXPENSE AND
PERFORMANCE REPORTING SYSTEM
(MEPRS) FOR FIXED MILITARY
MEDICAL AND DENTAL TREATMENT
FACILITIES
COMPLIANCE WITH THIS PUBLICATION IS MANDATORY
ACCESSIBILITY: Publications and forms are available on the e-publishing website at
www.e-publishing.af.mil for downloading or ordering.
RELEASABILITY: There are no releasability restrictions on this publication.
OPR: AFMRA/SG1/8YB
Supersedes: AFI 41-102, 5 August 2016
Certified by: AF/SG1/8
(Ellen K. Greenwood, GS-15)
Pages: 55
This publication implements AFPD 44-1, Medical Operations, and is in accordance with
Defense Health Agency – Procedures Manual (DHA-PM) 6010.13, Medical Expense and
Performance Reporting System (MEPRS) for Fixed Military and Dental Treatment Facilities
(DTFs), Volume 1 (Business Rules) and Volume 2 (Uniform Chart of Accounts) and the
Memorandum of Agreement between the Defense Health Agency (DHA) and the Air Force
Surgeon General’s Office for Direct Support to the DHA for Military Treatment Facility (MTF)
Administration and Management, DHA-2019-R-1304, paragraph 4.1.1. This AFI mandates use
of MEPRS in Air Force Medical Treatment Facilities (MTFs). This publication applies to all
Regular Air Force (RegAF), Air Force Reserve, Air National Guard (ANG) personnel, and
government civilians working in medical and dental treatment facilities covered by this
instruction. It does not apply to medical aid stations, squadron medical elements, designated
functional flights, deployed mobile MTFs, occupational and environmental health laboratories,
medical research and development functions, Air National Guard Medical Units, or Air Reserve
Medical Units. The authorities to waive wing/unit level requirements in this publication are
identified with a Tier (“T-0, T-1, T-2, T-3”) number following the compliance statement. See
AFI 33-360, Publications and Forms Management, for a description of the authorities associated
with the Tier numbers. Submit requests for waivers through the chain of command to the
appropriate Tier waiver approval authority, or alternately, to the requestor’s commander for non-
tiered compliance items. This publication may be supplemented at any level, but all supplements
must be routed to the Office of Primary Responsibility (OPR) of this publication for coordination
