Medical records may be required and requested for claim approval purposes. Please return the requested records with the request letter as the coversheet.
From January 1, 2025, to April 30, 2025, the current payer organization (WPS) will continue to process claims with a 2024 Date of Service (DOS). After April 30, 2025, claims with a 2024 DOS will no longer be accepted via 2024 processes.
For claims with 2024 DOS submitted before May 1st, 2025:
TRICARE East Region
Attn: Medical review
PO Box 7856
Madison, WI 53707-7856
Fax: (608) 221-7540
For claims submissions with a 2025 DOS, or after April 30th 2025:
Humana Military claims
Attn: Medical records review
PO Box 202157
Florence, SC 29502-2157
DME is a document signed by the prescribing provider containing clinical information that supports the need for each item, services or supplies requested for a beneficiary. A physician’s order or prescription itself can take the place of the CMN as long as it includes the necessary elements and signature. It is very important that the CMN or physician order be complete and current for the services/supplies/equipment to be covered. A copy of the CMN or order must be either submitted with the claim or may be faxed separately. Providers should keep the CMN on file for at least one year.
From January 1, 2025, to April 30, 2025, the current payer organization (WPS) will continue to process claims with a 2024 Date of Service (DOS). After April 30, 2025, claims with a 2024 DOS will no longer be accepted via 2024 processes.
For claims with 2024 DOS submitted before May 1st, 2025:
Fax the supporting documentation (CMN and/or physician order) to (608) 221-7542.
For claims submissions with a 2025 DOS, or after April 30th 2025:
Submit supporting documentation (CMN and/or physician order) electronically through provider self-service in the provider access claims center by clicking on the "send documents" link.
Or mail or fax in supporting documentation (CMN and/or physician order) to:
PO Box 202150
Florence, SC 29502-2150
Fax: (877) 489-0037
For Active Duty Service Members (ADSM) and all other beneficiaries enrolled in a TRICARE Prime plan, a Primary Care Manager (PCM) must provide a referral for most services they can't provide. For TRICARE Select beneficiaries, referrals are not required, but some services may require prior authorization from Humana Military. When completing the referral, always include the sponsor’s TRICARE ID, diagnosis and clinical data explaining the reason for the referral.
Submit referral online for quickest response
Fax: (877) 548-1547
Phone: (800) 444-5445
Behavioral healthcare referrals and authorizations
Fax: (877) 378-2316
Phone: (800) 444-5445
Electronic submissions
To ensure your electronic submission is processed in a timely manner, please confirm you are submitting the information in the correct portal, inbox or web form. To avoid additional delays, please only include details on a single beneficiary and do not combine requests.
Fax or mail submissions
TRICARE may ask you to use the letter you received as the coversheet for the information you return. Using the letter as a coversheet allows Humana Military to quickly document and identify beneficiaries, speeding up the process.
To ensure your documentation is processed quickly, please send a single correspondence or fax with information regarding a single beneficiary. If multiple pieces of correspondence are mailed at the same time, they must be divided with coversheets.
Humana Military accepts HIPAA-compliant electronic faxes sent using HIPPA-compliant companies such as UpDox, Faxage or SRFax, etc., available through a web search.
