What's new: As of October 1, 2009, all inpatient claims with admission dates on or after October 1, look for a Present on Admission (POA) indicator. The term POA refers to symptoms or conditions that exist at the time of inpatient admission. Claims missing a POA indicator for admission dates on or after October 1, 2009 will be denied.
National Defense Authorization Act: As of September 1, 2009, TRICARE non-PRIME beneficiaries (who are not eligible for Medicare) out-of-pocket copayments are waived for the following clinical preventive services: immunizations, well-child visits, colorectal, breast, cervical and prostate cancer screenings.
National Provider Identifiers (NPI): NPIs required on all electronic transactions as of May 23, 08. Read more...
Non-Network Providers: If submitting paperclaims, TRICARE Policy now requires that your signature be in block FL80 of the UB04 claim form;otherwise, your claims will be returned.
Claim Filing: Revised claim form news.
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