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Provider Handbook
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Previous Page Table of Contents Next Page
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Provider Resources
TRICARE Web Site Provider Portal |
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Provider Resources |
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Many national and regional resources are available if you or your staff have any questions or concerns about TRICARE programs, policies, or procedures, or if you need assistance coordinating care for a TRICARE beneficiary.
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TRICARE Web Site Provider Portal
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A provider portal is available on the TRICARE Web site. It offers national TRICARE information, including links to TRICARE regulatory guidance, policies, and procedures; TRICARE program options and features; and the latest news and events. It is the main resource for anything you need to know about TRICARE.
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PGBA Web Site
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The PGBA Web site provides the ability to:
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- File claims
- Check the status of your TRICARE patients’ claims anytime, day or night
- Ask claims-related questions through the secure “Ask Us” feature
- Print reports based upon the criteria you select
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Humana Military Web Site
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The Humana Military Web site is host to a full array of Web-based services designed to save providers time and money. This provider portal features pages customized for providers, as well as a section customized for primary care managers. |
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Online Provider Services
Humana Military’s online provider services include features designed to reduce the amount of time providers and their office staff members spend communicating with Humana Military via telephone or fax, which normally reduces the total time spent per transaction. These numerous online applications provide options designed to improve cash flow and even increase office productivity.
Online applications include:
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- Claims status check
- Claims submission
- Diagnosis/Procedure code lookup
- Links to fee schedules (TRICARE Web site)
- Online referrals and authorizations
- Patient eligibility check
- Provider locator
- Schedule of upcoming provider seminars
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Sign Up Log In
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“PCM Central”
“PCM Central” is built specifically for TRICARE Primary Care Managers (PCMs) and their office staff. This page ensures convenient access to a host of Web-based services designed to support your TRICARE patient management activities, including:
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- Claims submission
- Claims status inquiry
- HAL—Humana Military’s health awareness program
- Online referrals and authorizations (immediate confirmation available on many)
- Patient eligibility check
- Patterns in medical management reports
- TRICARE patient list
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