Select your view:
Current Region: SOUTH Select a different region

Welcome South Providers

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


Outpatient Prospective Payment System (OPPS): Centers for Medicare & Medicaid Services (CMS) implements quarterly updates to OPPS. Information related to the October 2015 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.


Sole Community Hospitals: Important information regarding reimbursement.


XPressClaim: Remember that providers can submit corrected claims through XPressClaim too!


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


Payment cycle information: EFT payments are processed five days a week. The payment cycle for providers who elect to have either paper checks and/or paper remits is once a week. Go 100% electronic and get paid faster! Sign up for EFT today.


Home Infusion: Check out the home infusion therapy billing guidelines.


Referrals and Authorizations: For all referral and authorization needs (build a referral/auth, check status or update existing referral/auths), go to Humana Military or use the IVR line at 1-800-444-5445 and listen for the prompts.




Our Prime Partner

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