395 Denial Code Issue

There have been issues regarding TRICARE claim denials with a 395 denial code on the remittance advice. Providers are getting this message in error: This claim cannot be paid until it is billed using the Medicare Code Editor guidelines for procedure code/revenue code combination. Please submit a replacement claim. TriWest Healthcare Alliance Corp. (TriWest) and Wisconsin Physicians Service Insurance Corp. (WPS) are working toward resolution of the issue. Until then, claims can be manually adjusted and/or reprocessed upon request. Registered providers can submit a request by online claims correspondence.