PROVIDERS

Use the below information as a helpful reference when billing.

Billing Tools

• Effective January 1, 2006, Medicare requires the use of a Core-Based Statistical Area (CBSA) code in block 39 of the UB-04 claim form for Home Health Agency Prospective Payment System (HHA/PPS) claims. All HHA/PPS claims with dates of service on or after January 1, 2006 should no longer use the Metropolitan Statistical Area (MSA) code when submitting claims to TRICARE. See HHA provider tips or the Medicare HHA calculator 

• Skilled Nursing Facility Prospective Payment System  (SNF/PPS) Billing Tips
• TRICARE timely claim filing policy
• ClaimCheck 
• Reconsideration Tipsheet
  Copay/Cost-share responsibilities
• Important information to know when electronically submitting   UB-04 claim forms. Check out the new  sample UB04 claim form as a reference only.
  Extended Care Health Option (ECHO) program began September 1, 2005. Learn more about ECHO.
• New: use this interactive CMS 1500 claim sample to help complete the form.

Tutorials

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