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Web Bytes (Article 13)
PCM Central Offers Unique Tools for Primary Care Managers
Wouldn’t it be nice if there were one online repository of information and resources that you could reference as you perform your duties as a TRICARE primary care manager (PCM)?
Now there is. Humana Military has created “PCM Central” to provide you and your staff members with the tools you need to manage TRICARE Prime beneficiaries’ care effectively.
Once there, you will find PCM tools that are not available anywhere else on the Humana Military site.
To access most of these tools, however, you need to establish an online services account. If you haven’t already done so, you can register for an account by clicking the “Sign Up” link.
Once registered, you or your staff members can do the following through PCM Central: |
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- Check on the status of a referral, authorization or claim.
- Enter a new referral or authorization.
- Check a patient’s eligibility.
- Check fee schedules.
- Look up diagnosis or procedure codes.
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Two other important PCM Central features include “My TRICARE Patient List” and “Patterns of Medical Management Reports.” By clicking the My TRICARE Patient List link, you can view a list of your patients and even see all current patient claims.
The Patterns of Medical Management Reports feature allows you to review your patterns of care and compare those patterns with those of other providers of similar size. You can determine if your patients have a higher propensity of hospitalization, for example, or you can see whether your patients are being referred to specialists at a greater or lesser rate.
You’ll also find the latest headlines, a link to the TRICARE Provider Handbook and more. For a guide on what else PCM Central offers, click the Site Demo link on the right-hand side of the page. |
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