Differences

This shows you the differences between two versions of the page.

--- payer_enrollment_tricare_east [2025/03/10 16:14] – created brad.sharp
+++ payer_enrollment_tricare_east [2025/03/10 16:28] (current) – brad.sharp
@@ Line 1: / Line 1: @@
-For tri-care east the following forms need to be filled out.
+===== TriCare East Enrollment =====
-{{ :pgba_tricare_edi_provider_agreement.pdf | Trading Partner Agreement}}
+In order to process TriCare East claims, the following forms must be completed:
+  * {{ :pgba_tricare_edi_provider_agreement.pdf | Trading Partner Agreement }}
+  * {{ :eft-and-era-enrollment-packagepdf.pdf | ERA and EFT Enrollment }}
+Follow all instructions provided on each form carefully. Once you've submitted these forms, **please notify ClaimRev** when they have been approved so that we can complete the setup on our end.
+==== Additional Guidance for TriCare East ====
+For more information on filing claims with TriCare East, refer to their official page:
+[[https://www.humanamilitary.com/provider/claims|TriCare East Claims (Humana Military)]]
+==== ISA and Payer ID (99727) ====
+Our system manages the ISA segment details automatically, so you do not need to worry about configuring ISA values. However, the **Payer ID** is important and must be placed in the payer loop **NM1-09**. This is the standard location for all payer IDs, so typically no major changes are needed in your setup to accommodate TriCare East.
+----
+**Questions or Issues?**
+Contact our support team if you have any questions about filling out these forms or once you’re ready to begin sending claims.