TRICARE Provider Bulletin
Issue 4:2009

You and Your NPI - Electronically Speaking
With the National Provider Identifier (NPI) compliance date nearly two years behind us, we at Humana
Military hope that your experience has been positive and that incorporating your NPI into claims has made the submission process more efficient.

TRICARE OPPS Implementation Update
The TRICARE outpatient prospective payment system is scheduled to be implemented on May 1, 2009. TRICARE will begin using OPPS to pay claims filed for hospital outpatient services.

Healthy People 2010 Entering the Final Stretch
As the final year of the Healthy People 2010 initiative quickly approaches, there is still time for you to
motivate your patients to make changes now that can positively impact their futures.

Referrals and Prior Authorizations
For correct TRICARE beneficiary care coordination and appropriate claims payment, it is important to
understand the difference between a referral and prior authorization and the requirements and processes for each.

Contacts
Frequently used telephone numbers and web sites.