PROVIDERS

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Welcome South Providers


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.


 

Our Prime Partner

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

 

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