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Are You Making the Most of www.myTRICARE.com (Article 3) |
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If you’re looking for a place to find answers to your eligibility, claims and remittance questions and more, look no further than
myTRICARE, the Web site of PGBA, LLC, Humana Military’s claims processor.
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This Web site allows you to perform several functions that will benefit your business on a daily basis without ever leaving the office. And best of all, it’s free, available anytime and everything happens in real time!
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Verify Eligibility |
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Using myTRICARE allows you to verify patient eligibility and benefits information by service type and for a specific
procedure and diagnosis.
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Check Claims Status |
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With this tool, you may view all claims filed for your facility, claims for a specific date of service or those filed within a specific time frame (e.g., within the last six, 12 or 24 months). Additionally, you will be able to see what amount has been paid or the reason for denial, what portion the patient is responsible for, the date the check was issued and the check number.
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Run Reports
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“Data Mart” allows you to run detailed reports for each facility and to see all claims that have been adjudicated, completed, returned or transferred, as well as those still being processed.
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Submit Confidential Questions |
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If you have a claims-related question that you’d like to have answered in a secure, confidential manner, look to the “Ask Us” feature of the myTRICARE Web site. Answers are sent back to you via your secured mailbox.
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Search Remittances |
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This tool allows you to search remittances by check date, check number or electronic funds transfer tracking number for the current week, the past 30 or 60 days or other date range.
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View Mail |
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With the “Mail box” feature, you can view new, old or deleted mail messages. Additionally, you can use this feature to search messages in your inbox by subject.
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Provider File Maintenance |
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If you are a non-network provider, you may submit “pay to” or physical address changes.
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Provide Your National Provider Identifier (NPI) |
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By selecting “NPI Update,” you can provide Humana Military with NPIs for your group whether you are a network or non-network provider.
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Also available on the PGBA Web site are product demos, accessible directly from the homepage. Technical support is provided via
the helpdesk from 9:00 a.m. to 5:00 p.m. Eastern Time at 1-866-698-7422.
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Get the answers you need at the click of a mouse—visit myTRICARE today! |
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Created: October 15, 2007
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