Provider Handbook

   

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Provider Resources (continued )

Resource

Description

Contact Information

ICD-9 Diagnosis Coding Manual and HCPCS Procedure Coding Manual To receive copies or if you need assistance 1-801-982-3000
Ingenix
5225 Wiley Post Way, Suite 500
Salt Lake City, UT 84116
www.ingenixonline.com

InterQual Criteria Guidelines

For information and assistance with InterQual Criteria Guidelines InterQual, Inc.
Director for Copyright Licensing
293 Boston Road West
Marlborough, MA 01752
Military Medical Support Office (MMSO) For written or phone inquiries to Army, Navy, Air Force, Marine Corps, Coast Guard, and National Guard 1-888-647-6676
(insert branch of service)
Point of Contact
Military Medical Support Office
P.O. Box 886999
Great Lakes, IL 60088-6999
National Oceanic and Atmospheric Administration (NOAA) and U.S. Public Health Services (USPHS) For written or phone inquiries to NOAA or USPHS 1-800-368-2777
NOAA/USPHS Point of Contact
Medical Affairs Branch
Beneficiary Medical Program
5600 Fishers Lane
Room 4C-06
Rockville, MD 20587
PGBA Correspondence To send correspondence, resubmitted claims, and inquiries TRICARE South Region
Customer Service Department
P.O. Box 7032
Camden, SC 29020-7032
PGBA Provider Data Management For provider certification issues 1-800-288-2227, ext. 69550
TRICARE South Region
Provider Data Mgmt. Dept.
P.O. Box 7039
Camden, SC 29020-7039
Pharmacy Services For questions about pharmacy claims, prior authorizations, and other inquiries

TRICARE Retail Pharmacy (TRRx)
Network: 1-866-DoD-TRRx
(1-866-363-8779)
TRICARE Mail Order Pharmacy (TMOP):
1-866-DoD-TMOP
(1-866-363-8667)

Prior Authorization and Referral Status Check For status updates on prior authorization and referral requests 1-800-444-5445
TRICARE Allowable Charge Rates View and download TRICARE allowable charge rates CMAC
TRICARE For Life Claims For questions or assistance concerning TRICARE For Life claims 1-866-773-0404
TRICARE4U
TRICARE Prime Remote/Supplemental Health Care Program To obtain authorizations for patients in the TRICARE Prime Remote or Supplemental Health Care Programs 1-877-249-9179
TRICARE Provider Web site, National Obtain national TRICARE information including links to TRICARE regulatory guidance, policy, and procedures TRICARE for Providers


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Last Update: July, 2007