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Tricare east provider s Form: What You Should Know

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Video instructions and help with filling out and completing Tricare east provider forms

Instructions and Help about Tricare east provider forms

Hi everyone, this is Douglas at PCC. Did you know that TRICARE North and TRICARE South are merging as of January 1st? Does that mean you need to re-enroll your practice, get credentialed, and sign up with them? Change policies for all your military families? Watch this video to learn more. Ok, first off, what's happening? TRICARE North and TRICARE South are going to be TRICARE East as of January 1st, 2018. But there are some other names that you may hear - Humana and GVR. They are the administrator of the TRICARE contract. And Wisconsin Physician Services. They are the ones who actually handle electronic claims eligibility, e ra s, and EF TS. Finally, you may be familiar with the fact that your claims for this payer will go through Change Healthcare. It used to have a lot of other names, there the claim Clearinghouse also known as the submitter. So, what does your practice need to do? What does PCC recommend you do right now before January 1st, 2018? Your practice may need to get credentialed with Humana. If you are already submitting claims with them, you're probably fine. But we're going to show you how, just in case. Next, you need to sign up for services with Wisconsin Physician Services. We'll show you exactly how to do that. Finally, especially if you see a lot of military families, you should prepare your staff to be on the lookout for new cards. January 1st, 2018, you'll need to add their new policies to your partner insurance plan table. Okay, so step 1, get credentialed with Humana. You may not have to do this step if you're already set up with them, but it's quick enough for me to show you how. I'm going to go to this website on the Humana...