BILLING NEWS

Billing Out-of-Region Claims

If you have treated a TRICARE patient from another TRICARE region, please submit the claims to the TRICARE region where the beneficiary resides and/or is enrolled in the TRICARE Prime program for faster payment. TRICARE pays based on where the beneficiary resides or is enrolled (except when care is received overseas). For example, if a provider in the West Region cares for a TRICARE Prime or TRICARE Prime Remote (TPR) beneficiary from Illinois (which is located in the North Region), the provider should submit the claim to Health Net Federal Services, the responsible contractor for that region, to expedite payment.


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INDUSTRY NEWS TAGS: TRICARE


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