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Claims Processing and Billing Information


South Region Claims Processor

PGBA, LLC

PGBA, LLC (PGBA) is the Humana Military Healthcare Services, Inc. (Humana Military) contractor for claims processing in the TRICARE South Region. Visit PGBA's Web site for more information about PGBA and claims processing requirements.

TRICARE network providers must file patients’ TRICARE claims, even when the patient has other health insurance (OHI). Payments made to network providers for medical services rendered will not exceed 100 percent of the TRICARE-allowable charge.
 
Last Update: January 15, 2011