Network Subcontractors, Vendors and Provider Resources
Humana Military's Network Subcontractors and Vendors
ValueOptions, Inc.
ValueOptions, Inc. (ValueOptions) is Humana Military’s behavioral health care partner in the TRICARE South Region. ValueOptions is the largest privately held behavioral health managed care company in the nation.
PGBA, LLC
PGBA, LLC (PGBA) is Humana Military’s claims processing partner in the TRICARE South Region. PGBA is a fiscal intermediary for the military’s TRICARE health benefits program. PGBA is one of the largest subsidiaries of BlueCross BlueShield of South Carolina.
Provider Resources
Many national and regional resources are available if you or your staff have any questions or concerns about TRICARE programs, policies, or procedures, or if you need assistance coordinating care for a TRICARE beneficiary.
This TRICARE Provider Handbook is a summary of the TRICARE program regulations and requirements contained in the TRICARE Policy Manual, TRICARE Operations Manual, and TRICARE Reimbursement Manual. These manuals may be viewed in their entirety online.
The PGBA Web site provides the ability to:
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File claims
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Check the status of your TRICARE patients’ claims anytime, day or night
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Ask claims-related questions through the secure “Ask Us” feature
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Print reports based upon the criteria you select
Humana Military Web Site
The Humana Military Web site is host to a full array of Web-based services designed to save providers time and money. This provider portal features pages customized for providers, as well as a customized section for primary care managers.
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