Knowledgebase
Therasoft Support site > Therasoft Help Desk > Knowledgebase

Tricare North going to Tricare east.

Solution

Payer: 68299 - TRICARE EAST

To: Change Healthcare Revenue Performance Advisor Customers

Payer: 68299 - TRICARE EAST

Dear Valued Customer,

Please note the following Change Healthcare update regarding the Tricare announced consolidation of the current Tricare North and South Regions into a single Tricare East region. Tricare has awarded the new Tricare East region contract to Humana Government Business Inc. to take effect for claims with dates of service January 1, 2018 forward.

FAQ:

Q: Will Providers be required to Enroll to bill for Tricare East?

A: Yes - Providers interested in serving TRICARE East members must submit an inquiry form to Humana GBA at http://bit.ly/2jlj0H4. If you already have a current TRICARE contract on file with Humana Government Business/Humana Military, You do not then need to submit an additional inquiry. Your current provider’s network agreement on file with Humana GBA will be transitioned to the new TRICARE East Region.

Q: Will Providers wishing to bill Tricare East electronically for Claims and ERA services be required to enroll?

A: Yes. Humana GBA has contracted with WPS to perform EDI delivery. EDI Enrollment must be completed by all providers wishing to bill Tricare East through WPS EDI gateway.

Providers utilizing Change Healthcare should take the following action:

Go to WPSIC website at https: //www.wpsic.com/edi/edi-forms.shtml

Complete the EDI - Electronic Claims Submission (837) Provider EDI Enrollment for Claims

Complete the ERA - Electronic Remittance Advice (835) Provider ERA Enrollment for ERA.

Article details
Article ID: 70
Category: Knowledgebase
Date added: 26-Dec-2017 12:43pm
Views: 86

 
« Go back