| Resource |
Description |
Contact Information |
|
| Allowable charges |
View and download TRICARE-allowable charge rates |
CHAMPUS National Pricing System (CMAC) |
| Behavioral Health Care--ValueOptions, Inc. (ValueOptions) |
Contact ValueOptions for information about behavioral health benefits, patient eligibility verification, authorizations, and claims |
1-800-700-8646, option 2
Submit paper claims to:
TRICARE South Region Claims Department
P.O. Box 7031
Camden, SC 29020-7031 |
| Claims |
Contact the South Region claims
processor, PGBA, LLC, for
assistance |
1-800-403-3950
1-800-325-5920 (electronic
data interchange claims)
www.mytricare.com |
| Current Procedural Terminology (CPT®) Coding Manual |
Request copies or obtain assistance |
1-800-621-8335
American Medical Association
515 N. State Street
Chicago, IL 60654
AMA web site
|
| Fraud and Abuse |
Anonymously report suspected fraud or abuse to Humana Military |
1-800-333-1620
TRICARE's Fraud and Abuse web site
|
| ICD-9 Diagnosis Coding Manual and HCPCS Procedure Coding Manual |
Request copies or obtain assistance |
1-800-INGENIX
(1-800-464-3649), option 1
Ingenix
2525 Lake Park Boulevard
P. O. Box 27116
Salt Lake City, UT 84127-0116
Ingenix web site
|
| Military Medical Support Office (MMSO) |
Contact the MMSO for assistance regarding health care for active duty Army, Navy, Air Force, Marine Corps, Coast Guard, and certain TRICARE-eligible National Guard
and Reserve members |
1-888-MHS-MMSO
(1-888-647-6676)
Military Medical Support Office
P.O. Box 886999
Great Lakes, IL 60088-6999
TRICARE's MMSO web portal
|
| Provider data management |
Contact PGBA for assistance with provider certification |
1-800-288-2227, ext. 69550
TRICARE South Region
Provider Data Mgmt. Dept.
P.O. Box 7039
Camden, SC 29020-7039 |
| Pharmacy Services |
Contact the TRICARE Pharmacy Program contractor, Express Scripts, Inc., for assistance with pharmacy benefits, claims, prior authorization, and other services and requirements |
1-877-363-1303
Fax: 1-877-895-1900
Express Scripts, Inc.
P.O. Box 52150
Phoenix, AZ 85072
Express Scripts web site
|
| Referral and prior authorization status check |
Check referral and prior authorization requests status |
1-800-444-5445 |
| TRICARE For Life (TFL) |
Contact the TFL administrator, Wisconsin Physicians Service (WPS)/TFL, for assistance with TFL benefits, claims, and requirements |
1-866-773-0404
1-866-773-0405 (TDD)
WPS/TRICARE For Life
P.O. Box 7889
Madison, WI 53707-7889 (general correspondence only, no claims)
TRICARE4U web site
|
| TRICARE Reserve Select (TRS) |
Call the TRICARE South Region TRS customer service number for assistance |
1-877-298-3408, option 1 |
| U.S. Public Health Service (USPHS) |
Obtain assistance regarding health care for USPHS personnel |
1-800-368-2777, option 2 |
