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E-Business for Providers
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At Humana Military, we believe that paperless transactions are the wave of the future for our TRICARE South Region providers.
Lately, we’ve been hearing more about the need to move away from paper in the health care industry and implement more programs that can create, store and move transactions electronically. In consideration of Medicare’s goal of total e-business and best business practices for health care claims filing, both Humana
Military and TRICARE support the shift to completely paperless transactions.
Many of you have already become proficient in relaying claims electronically through clearinghouses, the Electronic Data Interchange Gateway or one of the Web portals offered by Humana Military or PGBA, LLC (PGBA). However, you may not be aware of other electronic services that are available, such as online provider remittances through myTRICARE or electronic funds transfer (EFT).
Switching from paper to electronic transactions will allow you to access your transactions any day and any time that’s convenient for you. Advantages of electronic transactions include:
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Electronic remittance advice (ERA) is available daily; paper remittances must be mailed.
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ERA files can be downloaded and are secure; paper can be lost in the mail, sent to the wrong office or have missing pages.
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EFT is sent once the transaction is completed, and funds are available immediately.
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EFT is secure and you can determine where the money goes; paper checks can be lost in the mail or sent to the wrong address.
To learn more about electronic transactions or to sign up for EFT, visit myTRICARE. For questions about electronic interface for e-business with electronic media claims (EMC), EFT or ERA, call PGBA’s EMC Help Desk at 1-800-325-5920.
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