Table of Contents
TriCare East Enrollment
In order to process TriCare East claims, the following forms must be completed:
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:
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.