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Got Claims Questions? Here’s Where You Can Find the Answers (Article 6) |
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PGBA, LLC 1-800-403-3950
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For questions regarding claims status, eligibility, OHI, TPL and explanation of benefits
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Wisconsin Physicians Service (WPS) 1-866-773-0404 |
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For claims issues involving Medicare
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ValueOptions 1-800-700-8646 |
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For behavioral health claims issues
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Humana Military 1-800-444-5445 |
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For any claims question that involves authorizations issues for medical or surgical services
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Sponsor ID Is the Key (Article 7)
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When filing your TRICARE claims, make sure that the Social Security number (SSN) you use is the sponsor’s SSN—whether the patient is the sponsor or any member of the sponsor’s family.
The only exception to this rule is if the patient is the former spouse of a TRICARE sponsor. In that case, use the former spouse’s SSN.
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Last Reviewed: February 7, 2007
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