Humana Military and its subcontractors ensure that physicians, licensed independent practitioners, facilities, and other health care professionals within the TRICARE network meet credentialing criteria. Adherence to credentialing criteria that meet or exceed DoD requirements ensures a quality health care delivery system for TRICARE.
Once approved for participation, each provider is monitored for quality of care and adherence to DoD and Humana Military standards. Humana Military uses several methods to monitor quality, including:
Humana Military providers must agree to participate in clinical quality studies as needed, and they must also agree to make their medical records available for review for quality purposes. Each provider/facility is recredentialed every three years. The recredentialing process also includes review of quality data.
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