PROVIDERS

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Welcome North Region Providers


NEW! Delayed Payment Cycle: The last non-underwritten and underwritten cycles for fiscal year 2015 will occur on September 23. The next cycle for both will occur on October 1. During this time frame, payments will be delayed. We apologize for the inconvenience and thank you for your patience.

 

Web Protocol: myTRICARE will only accept internet traffic via the secure TLS 1.1 and TLS 1.2 protocols. If you are having issues accessing myTRICARE Secure, verify that your browser settings have TLS 1.1 and TLS 1.2 enabled.

 

Urgent Care Clinics: Beneficiaries should contact their PCM or family doctor first to best decide where and when to get urgent medical care.

 

Autism Care Demonstration (ACD): Check out the latest update to the ACD program.

 

TRICARE Appeal Rights: To submit a non-expedited reconsideration request to Health Net, specific instructions must be followed by the appropriate appealing party.

 

Outpatient Prospective Payment System (OPPS): Centers for Medicare & Medicaid Services (CMS) implements quarterly updates to OPPS. Information related to the July 2016 update is available directly from CMS. Please note: Medicare specific coding requirements must be followed (with the exception of DHA developed APCs) in order to receive TRICARE reimbursement under the OPPS.

 

EDI Submitters - Prevent your TRICARE claims from rejecting with the Invalid Member ID (H65) edit. 

 


 

 

Our Prime Partner

Click here to go to our Prime Contracting Partner's website to find other helpful tools.

https://www.hnfs.com/


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