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TRICARE network providers must file beneficiary TRICARE claims, and all claims must be filed electronically. PGBA recommends XPressClaimSM as an electronic filing option that minimizes the errors that can lead to claim denials.
Available at www.myTRICARE.com, the XPressClaim system requires only a computer with Internet access. It is a secure, fast way to submit CMS-1500 claims and to file institutional UB-92 claims. XPressClaim helps to eliminate denials because edits are made online in real time, that is, while the claim is being filed. If the system recognizes an error when the provider or staff member files the electronic claim, the information in question will be highlighted.
The person filing the claim can then get more information on the edit in question by hitting the F1 key, revising the information and resubmitting. In this way, claims are filed correctly, eliminating the delays involved when claims are rejected and sent back to providers by mail.
With XPressClaim, you also can print a Patient Summary Receipt while the patient is still in the office. The system will adjudicate most TRICARE claims upon submission and provide a clear explanation of what TRICARE allows and what the patient owes.
To sign up for XPressClaim, go to the provider section of www.myTRICARE.com. If you have questions about which electronic claims processing option is best for your office, call PGBA’s Electronic Media Claims Help Desk at 1-800-325-5920, select option 2 and identify yourself as a TRICARE provider. |
