Tricare4u.com

Once you have registered as a Provider, you'll have instant access to all of your patients' TRICARE Insurance information.

Instant Access, reliable data. TRICARE at your fingertips! Once registered, you'll be able to view patient Eligibility, perform a quick Claim Search for; status, amount paid and Explanation of Benefits (EOB) and you can Contact Customer Service using our secured system.

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News

 

Requesting an Authorization for Adjunctive Dental Procedures...

To request authorization forms click on Forms in the left hand menu then click the "Service Request Notification for Authorization" under Authorizations. Please complete the form using the request instructions located on page three and send back to TRICARE for Life Authorizations.

The request form will be reviewed upon receipt to ensure that we have everything that we need to prove medical necessity (x-rays, medical history and treatment plan). A benefit decision will be made within five business days. After proof of medical necessity is approved, we will draft an authorization letter and fax/mail/secure email the decision. Read more....

Attention: TRICARE For Life Providers...

Do you want to save time, money, and paper with Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA)?

Interested? Complete our online form at: http://www.wpsic.com/edi/tools.shtml#eft-era.

Any questions, please contact us at 1-800-782-2680, option 4 or write us at WPS Electronic Data Services, P.O. Box 8128, Madison, WI 53708-8128 or email us at edi@wpsic.com

Thank you again for choosing WPS as your trusted health insurance partner.

TRICARE Set to Cover Laboratory Developed Tests...

Starting in September, TRICARE will cover certain laboratory developed tests (LDTs) under a new LDT Demonstration. The demonstration also allows TRICARE to cover approved laboratory developed tests retroactively if the coverage guidelines for the specific test are met.

Read the article: Military Health System and the Defense Health Agency website.

For more information about TRICARE coverage of LDTs, visit: TRICARE.mil.

Preventing Duplicate Claims - Procedure code G0283

Physical Therapy providers are required by Medicare to bill (unattended electrical stimulation) using procedure code G0283. TRICARE accepts either code G0283 or 97014 for this procedure.

Most TFL claims, including procedure code G0283 are automatically crossed over from Medicare to TRICARE for processing therefore providers do not need to submit claims with procedure code 97014 directly to TRICARE. This will cause a duplicate claim.

When a claim is crossed over from Medicare, the EOB indicates "Claim forwarded to TRICARE".

After receiving payment from Medicare please allow time for TRICARE to process the claim before directly submitting it.

Join us on Facebook...

Visit us on Facebook to see all sorts of helpful information including; TRICARE program updates, resource information, helpful hints and much more. Like us at www.facebook.com/wps 4 U.

Providers -- Paperless Correspondence Coming Soon!

If you are a TRICARE For Life provider looking for a more efficient way to do business, we have some great news for you! Effective December 15, 2014 you will have the opportunity to sign-up to receive all of your Explanation of Benefits (EOBís) and correspondence electronically. No more paper clutter or waiting for EOBís and correspondence to arrive by mail. This new option will provide the ability to review payments several days before the current paper process.

Starting on December 15th, when a location administrator signs in to their account, they will be given the option to choose paperless correspondence or to continue to receive paper EOBís and letter. Upon log-in, the administrator will be required to specify this preference for each location they administer. Once the administrator makes this selection, the preference is set for all providers who have access to that location.

If the paper option is chosen, nothing will change and you will continue to receive paper EOBís and correspondence. If the paperless option is chosen, all registered providers for the location will receive an email when claims and correspondence are available online. The e-mail will include a link to log-in to your secure account and view the EOB or correspondence. In order to limit the number of e-mails you receive, when multiple EOBís or correspondence process in a day, you will only receive one e-mail per unique user.

Thank you for the excellent service and care that you provide to our millions of military retirees throughout this great country. We look forward to helping you develop a more efficient way of handling your business, and to serving you in the future!

The TRICARE For Life Customer Service Team

Do you use a billing agency?

Did you know that if you use a billing agency we cannot release information to them unless we have your Business Associate Agreement on file? To prevent your billing agency from being given the Privacy Act when they call us, please submit a copy of your agreement to our office at WPS, P.O. Box 7889, Madison, WI 53707-7889. We appreciate your attention to this matter.

The TRICARE For Life Customer Service Team

Effective TRICARE Customer Service Calls...

Would you like to make your calls to TRICARE Customer Service more efficient?

Gathering the information below prior to calling in will assist the Customer Service representative with addressing your inquiry more effectively and provide you with all the necessary information in a timely fashion.

TRICARE For Life requires providers to verify the following information when calling Customer Service.

  • The Tax Identification number
  • Sponsor number or DOD ID
  • Patient's First and Last Name
  • Patient's Date of Birth

  • When calling on multiple patients, please have the Sponsor number or DOD ID number, the patientís name and date of birth available for every patient at the time of the call.
  • If calling for claim status, please have the date of service and billed amount available.

Thank you for your time and we look forward to serving you in the future!

The TRICARE For Life Customer Service Team