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Get to Know Your Provider Relations Representative
  (Article 4)

Humana Military Healthcare Services, Inc., (Humana Military) has provider relations representatives available to assist you
with a variety of issues. Our provider representatives act as liaisons between military treatment facilities and civilian network providers, working to increase your understanding of TRICARE programs.
 

Additionally, Humana Military’s provider relations representatives personally interact with you by annually visiting many primary care managers. Representatives are also available upon request to visit network physician offices, groups and hospitals.
 
The goal of the provider relations department is to ensure that you have the tools necessary to better care for TRICARE beneficiaries. The department offers educational seminars for providers at least twice a year.
 
Provider relations representatives are trained to work with you to ensure that you are in compliance with Humana Military’s requirements for:
  • Electronic claims filing
  • Consult reports
  • Referral and authorization transactions

You can also depend on the provider relations department to assist you with claims inquiries and updating your contact information for the Humana Military provider locater and provider directory. It is important that information such as your address and fax number be kept up to date. Incorrect or outdated contact information can adversely affect claims payments, referral
activity or Humana Military’s ability to reach you.
 

If you are a network provider and are unsure how to contact your provider representative, call Humana Military at
1-800-444-5445 and listen carefully to the options on the provider menu. The interactive voice response line will prompt you with a few questions to determine your location and then connect you to your local representative. If you are a network
behavioral health provider, you may call ValueOptions at 1-800-700-8646 and ask to speak with a provider representative.
 

Your provider representative is waiting to assist you. Contact Humana Military today!

  
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Created: November 15, 2007