PROVIDERS

Use the below information as a helpful reference when billing TRICARE®.

Billing Tools

• New! Modifier Pricing for Professional Claims  
• View HHA provider tips or the Medicare HHA calculator. 
• TRICARE Allowable Charges
• Skilled Nursing Facility Prospective Payment System (SNF/PPS) Billing Tips
• DRG Rates
• Outpatient Prospective Payment System Rates
• Important information to know when electronically submitting    UB-04 claim forms. Check out the new  sample UB04 claim form as a reference only.
• Prevent Duplicate Claims 
• Clearly Legible Reports (CLRs) Coordination
• TRICARE timely claim filing policy
• Prior Authorization Information 
• ClaimCheck
• Copay/Cost-share responsibilities
• HPSA Bonus Payment Modifier Change
• Extended Care Health Option (ECHO) program began September 1, 2005. Learn more about ECHO.
• Use this interactive CMS 1500 claim sample to help complete the form.
• Find coding information

Tutorials

Watch video tutorials that can help you manage your TRICARE business.