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This tricare provider handbook provides an overview of the tricare program regulations and requirements contained in the tricare policy manual (tpm), tricare operations manual (tom) and tricare reimbursement manual (trm). Claims should be filed within one year after services are provided or within one year of discharge for inpatient admissions. View, print, or download tricare educational materials
These manuals are applicable to the east and west regional managed care support contracts (mcscs) awarded on or after 07/21/2016 Providers must submit tricare claims to pgba for processing following the tricare west region provider handbook Upon direction of the contracting officer (co), all or portions of these manuals may also apply to the tqmc, tcars, top, tpharm, tdp, and tdefic.
Check out the provider handbook
The provider handbook will assist you in delivering tricare benefits and services To participate in the care of tricare beneficiaries, facilities must establish a peer review organization (pro) agreement with humana military in accordance with 32 cfr 199.15 (g). Providers must comply with applicable tricare requirements. If you have a question regarding tricare benefits, please go to the tricare contact us page page
If you need help with technical/operational issues, please go to the tricare manuals online help page. How do i get a tricare handbook You can request one from your tricare contractor or click on a link below to download a copy For a us family health plan (usfhp) benefits book visit the usfhp page
For more handbooks, fact sheets, or brochures, visit the tricare publications page
Your guide to tricare certification, policies to follow and answers to your key questions on referrals, claims, authorizations and more.
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