Provider Charts

Active Duty, National Guard/Reserve Members
Behavioral Health
Claims, Billing Tips & OHI
Electronic Claims
Provider Resources
Referrals and Prior Authorizations
TRICARE Covered Benefits and Costs
TRICARE Program Options
Verifying TRICARE Eligibility

 

 
Active Duty, National Guard/Reserve Members
Provides information on health care management, behavioral health care requirements and coverage for Active Duty, National Guard and Reserve Service Members.




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Behavioral Health
Provides detail on covered, and non-covered behavioral health benefit relating to TRICARE Prime, Extra, and Standard. Along with information regarding who to call.

 

 

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Claims, Billing Tips & OHI
Provides information for submitting TRICARE Claims to Humana Military. Along with helpful tips for claims dealing with: Other Health Insurance, TRICARE claims, Dual-Eligible Claims Contact Information, and Third Party Liability Insurance.

 

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Electronic Claims
Provides detail on several electronic claims filing options, the benefits of filing electronically, requirements, HIPPA standard formats, and contact information.  

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Provider Resources 
Provides frequently used TRICARE telephone numbers and Web site addresses.

 

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Referrals and Prior Authorizations
Provides the requirements of and process for obtaining TRICARE referrals and prior authorizations including information about consult/operative report requirements.

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TRICARE Covered Benefits and Costs
Provides a list of TRICARE medical/surgical, behavioral health, and preventive care covered services and beneficiary copayment and cost-share responsibility.

 

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TRICARE Program Options
Summarizes the main TRICARE health care program options (TRICARE Prime, TRICARE Extra, TRICARE Standard, TRICARE Prime Remote/TRICARE Prime Remote for Active Duty Family Members, TRICARE For Life and the TRICARE Pharmacy Program) and describes provider and beneficiary responsibility, accessing care guidelines and other information.

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Verifying TRICARE Eligibility

Provides information on how to verify eligibility and describes the uniformed services ID cards and TRICARE Program Open Enrollment Cards (TRICARE Prime, TRICARE Prime Remote, TRICARE Prime Remote for Active Duty Family Members, TRICARE Reserve Select and CHCBP).

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*Please note that changes to TRICARE programs are continuous, and new benefits are added regularly to make TRICARE a better program.  Updates to online material will be incorporated as received.  Therefore, please return often to ensure you are accessing the most up-to-date information concerning your TRICARE benefits.
 
 
 
 
 
 
 


Last Update: June 13, 2006

Last Update: September 10, 2008