ClaimRev Support Documentation

This page is read only. You can view the source, but not change it. Ask your administrator if you think this is wrong.

===== TriCare East Enrollment =====
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.