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Electronic Claims Filing
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| Some of the more frequently asked questions we receive about electronic billing are: |
Q: Why should I file electronically?
A: Electronic Billing is the wave of the future. More and more insurance companies, like Medicare and Medicaid are starting to require providers to bill electronically. Starting now will help you be ahead of the game. |
Q: How much does it cost?
A: There are numerous software packages available to you in various price ranges. The savings in return time and man-hours alone make this a worthwhile option. |
Q: Do I need a modem?
A: Yes |
Q: Will I have to re-key each claim?
A: This depends on your software. Some programs do not require you to re-key, some do. You will have to discuss your preferences with your software vendor. |
Q: Who do I contact to get more information?
A: You can contact the Provider Relations Representative in your local ValueOptions Area Field Office or call your software vendor and ask how you can start billing your TRICARE claims electronically. |
Q: How do I file hard copy documents that support my electronic claims?
A: Use FAXGATE procedures. For more information, see FAXGATE Procedures. You will also need the EMC Attachment form which is required for electronically submitted claims. The EMC Attachment form may be downloaded from the TRICARE Forms - Provider web page. |
Advantages of Electronic Claims Filing |
- Reduced postage costs and mailing time. Reduced paper handling. Quicker turnaround time = improved cash flow. Better audit trail ... Electronic Media Claims (EMC) response reports show you which claims were accepted for processing. Front-end EMC edits give you much quicker feedback regarding problems with your claims allowing you to correct and resubmit in hours or days instead of weeks. Software is available to EMC submitters that allows on-line claims status inquiry and DEERS eligibility inquiry.
- PGBA has an EMC Help Desk to assist you with any issues related to electronic claims submission.
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| Find more information about electronic claims filing on myTRICARE.com |
Check the status of your claims online. |
