Provider Handbook

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eZ TRICARE Claims is a HIPAA-compliant option that gives all providers the option to submit claims electronically through the Internet. Humana Military network providers must file claims electronically and will receive payment sooner than if they filed the same claim on paper, because claims are submitted more efficiently and with fewer errors and omissions. On average, electronic submission enables TRICARE claims to be processed two to three weeks faster than claims filed on paper.

Other benefits include:
 

• No software to install
• Online editing capabilities
• Real-time claim error identification
• TRICARE claims processed free of charge

eZ TRICARE Claims allows you to upload batches of claims directly from your practice management system. There’s no software to install, no data entry, and no cost for your TRICARE claims; eZ TRICARE Claims can accept a variety of claims formats, including National Standard Format (NSF), ASC X12 837, and even a CMS-1500 print file. You can also file UB-04s with eZ TRICARE Claims.

  
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To access Online Provider Services, PCM Central, and eZ TRICARE Claims, providers must register to obtain a User Identification and password for the Humana Military Healthcare Services Web site. An online wizard will guide you through the registration process. Once completed, you will receive notification via e-mail within one to two business days that your User ID has been activated.

Sign Up

The Single Sign On feature allows you to access data from multiple Provider IDs without requiring you to sign in using separate Provider IDs. The conversion wizard will locate all your existing provider sign-ins and convert them to your one new Single Sign On account. You even get to create your own User ID to access all of this user-friendly provider information.

  
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Providers can check the status of referral, prior authorization, or admission requests 24 hours a day, seven days a week, and get the information they need without waiting. Humana Military’s TRICARE Service Line offers the most advanced speech-activated technology available, so providers may say all of their answers in response to courteous, pleasant-sounding prompts. Other services include material requests.

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TRICARE Service Centers (TSCs) are located throughout the TRICARE South Region and are staffed with provider representatives and beneficiary service representatives from Humana Military to assist both beneficiaries and providers. As network providers, you will interact with TSC staff for many health care services or administrative actions. For the most accurate, up-to-date listing of the TSCs in the South Region, call the Humana Military TRICARE Service Line at 1-800-444-5445.

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