Differences

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

--- payer_enrollment_tricare_west [2025/05/16 14:02] – created brad.sharp
+++ payer_enrollment_tricare_west [2025/05/16 14:06] (current) – brad.sharp
@@ Line 1: / Line 1: @@
 ===== TriCare West Enrollment =====
-In order to process TriCare East claims, the following forms must be completed:
+In order to process TriCare West 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 }}
+  * {{ :pgba_eft-era_enrollment_package.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 ====
+==== Additional Guidance for TriCare West====
-For more information on filing claims with TriCare East, refer to their official page:
+For more information on filing claims with TriCare West, refer to their official page:
-[[https://www.humanamilitary.com/provider/claims|TriCare East Claims (Humana Military)]]
+[[https://tricare.triwest.com/en/provider/claims-guidelines|TriCare West Claims ]]
-==== ISA and Payer ID (99727) ====
+==== ISA and Payer ID (99726) ====
-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.
+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 West.
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