| Resources |
Description |
Contact Information |
| Behavioral Health Care Claims |
For information or submission of behavioral health claims |
1-800-403-3950
TRICARE South Region
Behavioral Health
P.O. Box 7034
Camden, SC 29020-7034 |
| Behavioral Health Care Partner—ValueOptions |
For questions and information about behavioral health and substance use services |
1-800-700-8646
Fax Numbers
Appeals and Reconsiderations:
1-904-363-8294
Outpatient Records/Retrospective Review: 1-866-811-4422
Outpatient Treatment Reports (OTRs):
1-866-811-4422
Retrospective Review of OTR:
1-866-811-4422
Provider Relations & Quality Management: 1-866-429-8995
Credentialing: 1-866-429-8995
ValueOptions
P.O. Box 551188
Jacksonville, FL 32255-1188 |
| Claims (PGBA) |
For all claims-related questions |
1-800-403-3950
TRICARE South Region
Claims Department
P.O. Box 7031
Camden, SC 29020-7031 |
| Current Procedural Terminology (CPT®) Coding Manual |
To receive copies or if you need assistance |
AMA web site
1-800-621-8335
American Medical Association
515 N. State Street
Chicago, IL 60654 |
| Disease Management |
To obtain information about the Humana Military Disease Management Programs |
Disease Management section
1-800-881-9227 |
| Electronic Claims Fax Line |
To fax supporting documentation for electronic claims |
Institutional: 1-803-462-3988
Professional: 1-803-462-3989
Behavioral Health: 1-803-462-3990 |
| Electronic Claims Help Desk |
To inquire about electronic claims submissions, and for help with problems relating to electronic claims |
1-800-325-5920, option 2 |
| Extended Care Health Option (ECHO) Case Manager |
For assistance with ECHO |
For Florida (except the panhandle), Georgia, and South Carolina:
1-800-447-6072
For Mississippi, Alabama,Tennessee, New Orleans area, and Florida panhandle:
1-866-323-7155
For Arkansas, Louisiana, Oklahoma, and a major portion of Texas:
1-800-447-8808 |
| Fraud and Abuse Hotline |
To report suspected fraud or abuse |
1-800-333-1620 |
| Health Care Finder |
A non-clinical person who facilitates referrals and other customer service functions of beneficiaries to military and/or civilian health care services |
Accessed by providers through fax or Web-based functions |
| ICD-9 Diagnosis Coding Manual and HCPCS Procedure Coding Manual |
To receive copies or if you need assistance |
Ingenix web site
1-800-INGENIX (1-800-464-3649),
option 1
Ingenix
2525 Lake Park Boulevard
Salt Lake City, UT 84116 |
| InterQual® Criteria Guidelines |
For information and assistance with InterQual criteria guidelines |
McKesson Health Solutions
275 Grove Street, Suite 1-110
Newton, MA 02466-2273 |
| Military Medical Support Office (MMSO) |
For written or phone inquiries to Army, Navy, Air Force, Marine Corps, Coast Guard, and National Guard |
1-888-647-6676
Military Medical Support Office
P.O. Box 886999
Great Lakes, IL 60088-6999 |
| National Oceanic and Atmospheric Administration (NOAA) and U.S. Public Health Service (USPHS) |
For medical or dental inquiries regarding NOAA and USPHS personnel |
1-800-444-5445 |
| PGBA Correspondence |
To send correspondence, resubmitted claims, and inquiries |
TRICARE South Region
Customer Service Department
P.O. Box 7032
Camden, SC 29020-7032 |
| PGBA Provider Data Management |
For provider certification issues |
1-800-288-2227, ext. 69550
TRICARE South Region
Provider Data Mgmt. Dept.
P.O. Box 7039
Camden, SC 29020-7039 |
| Pharmacy Services |
For questions about pharmacy claims, prior authorizations, and other inquiries |
TRICARE Retail Network Pharmacy
(prior to November 4, 2009):
1-866-DoD-TRRX (1-866-363-8779)
Mail Order Pharmacy
(prior to November 4, 2009):
1-866-DoD-TMOP (1-866-363-8667)
TRICARE Pharmacy Program, Retail and Mail Order
(after November 4, 2009):
1-877-363-1303
|
| Prior Authorization and Referral Status Check |
For status updates on prior authorization and referral requests |
1-800-444-5445 |
| TRICARE-Allowable Charge Rates |
View and download TRICARE-allowable charge rates |
TRICARE CMAC web site |
| TRICARE For Life Claims |
For questions or assistance concerning TRICARE For Life claims |
TRICARE4U web site
1-866-773-0404
1-866-773-0405 (TDD) |
| TRICARE Manuals Online |
Access links to TRICARE regulatory guidance, policy, and procedures |
TRICARE Manuals web site |
| TRICARE Prime Remote (TPR)/Supplemental Health Care Program (SHCP) |
To obtain authorizations for patients in the TPR or SHCP programs |
1-877-249-9179 |
| Warrior Navigation and Assistance Program |
Assistance for providers in dealing with issues unique to wounded warriors and their families |
1-888-4GO-WNAP (1-888-446-9627) |
