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Humana Military’s Online Services Give You the Competitive Edge (Article 3 )

The old axiom “time is money” is as true in a corporate boardroom as it is in the medical office. To be competitive, you need to save time and money by helping your office staff be more efficient—the more tasks your staff can perform electronically, the better. It allows more time to focus on patients. With Humana Military’s online services for providers, you can do more in less time.

Lightning Fast Referrals and Authorizations

Before your patient even comes to your office, your staff can check online for TRICARE eligibility, saving the time associated with lost appointments.

First, you’ll need to become a registered user of the Humana Military Web site by clicking the “Sign Up” link on the right-hand side of the Online Provider Services page and following the prompts given by the “User Sign Up Wizard”.

Your TRICARE patients will be impressed when you obtain referrals and authorizations while they are still in your office. Registered users can request new referrals and authorizations online—in a matter of seconds—and get a response in a matter of minutes.

From “Provider Resources,” just click on “Online Provider Services” and then on “Online Referrals and Authorizations” to start the process. While awaiting your response, your staff can also check on the status of existing referrals and authorizations (which is especially helpful if they were made by time-consuming fax), perform a search of specialists by ZIP code or several other search alternatives, determine diagnosis and procedure codes, and get a list of provider services.

Please note: Only network providers have access to the referral/authorization screens.

Disease Management (new!)
To provide better customer service to your TRICARE beneficiaries who suffer from heart failure, Humana Military created its new disease management program. As the newest online provider feature, the program was launched to assist with the detection and treatment of heart failure. It’s another helpful online tool for those of you who are already registered Humana Military Web site users.

From Online Provider Services, click on “Disease Management Referral Form” to complete and submit an online referral form. We review referrals daily and accept new TRICARE patients into the program based on Humana Military’s review of beneficiary claims data (e.g., diagnosis and procedure codes).

You can review these codes while online, making it easier for your staff to report on the specific heart failure condition of the patient you wish to refer into the program. TRICARE beneficiaries who meet certain diagnosis criteria and who are not entitled to Medicare are eligible for the program. A Humana Military representative will call your office to let you know that your TRICARE beneficiary is being processed into the program.
 


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