Provider Specialties for TRICARE

 
TRICARE has adopted the national taxonomy codes and descriptors defining primary and secondary provider specialties for individual health care professionals. Most providers recognize the “taxonomy code sets” in relation to electronic data and claim filing. The taxonomy code descriptors provide more specificity about providers’ specialties as well as the scope of services and subcategories that accompany specialty categories.
 
Humana Military Healthcare Services, Inc. asks that network providers in the South Region supply as much information as possible about their specialties listings. This ensures correct payment of claims. Additionally, your specialty listing helps beneficiaries search for providers using our Provider Locator.
 
Specifics are critical to referrals, especially when a specialist is needed. Our Web referrals are contingent upon choosing the most accurate provider for the patient’s needs. Some specialty descriptors refer to the actual services provided making it even easier to refer appropriately (e.g., sleep disorders, plastic surgery-facial, pain management).
 
Military treatment facilities referring out to our network also depend on accurate provider information for behavioral health care provider services.
 
Check your current listing at the Provider Locator to confirm your information. The best opportunity to update or add to your specialty profile is during your recredentialing period. However, you can provide timelier updates to your local provider representative. If you have questions about the most appropriately assigned taxonomy, visit the National Uniform Claim Committee Web site at www.nucc.org.