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Providers must verify patient eligibility online (log in to the Secure Portal), through the self-service tools at 1-844-866-WEST (1-844-866-9378), or via electronic data interchange (EDI). Learn how in our brief, self-paced " Checking TRICARE Eligibility in the TRICARE West Region " module.
6 ημέρες πριν · TRICARE is a healthcare program. It isn’t an agency and it doesn’t determine eligibility. The sponsor’s uniformed service decides who is eligible for TRICARE and reports it in DEERS. Your benefits and plan options will vary depending on your beneficiary category. Click on the link below that best describes you to learn more:
Providers should verify eligibility with Humana Military. The quickest, easiest way to do this is through provider self-service. Active Duty Service Members (ADSM), family members over age 14, retirees and family members will have one of two valid military ID cards shown below.
Providers must verify patient eligibility online (log in to the Secure Portal), through the self-service tools at 1-844-866-WEST (1-844-866-9378), or via electronic data interchange (EDI). Learn how in our brief, self-paced "Checking TRICARE Eligibility in the TRICARE West Region" module.
Verify the card bearer’s TRICARE eligibility online at www.tricare-west.com or by calling the Health Net Federal Services, LLC (HNFS) interactive voice response (IVR) system at 1-844-866-WEST (1-844-866-9378) .
If you are a non-network provider who needs to be TRICARE-certified, download and complete the appropriate form from here. If you are a TRICARE network provider or want to become a network provider, contact your local provider representative or call (800) 444-5445.
Humana Military provider self-service allows you to perform eligibility checks (up to five checks) in real time. The TRICARE patient profile populates: • Cost-share/copay information • Program information • Beneficiary eligibility history • Other Health Insurance (OHI) information • Referral by patient status • Claims by patient status
