Supporting documentation instructions

New claims

TRICARE East Region Claims

Attn: New Claims

PO Box 7981
Madison, WI 53707-7981
Fax: (608) 327-8522

EDI Payer ID: TREST

(preferred method)

Corrected or revised claims

TRICARE East Region Claims

Attn: Corrected Claims

PO Box 8904
Madison, WI 53708-8904
Fax: (608) 327-8523

EDI Payer ID: TREST

(preferred method)

Recoupments or refunds

TRICARE East Region Claims

Attn: Refunds/Recoupments

PO Box 7937
Madison, WI 53707-7937

Proactive recoupment form

Claims-related medical records

TRICARE East Region

Attn: Medical Review

PO Box 7856
Madison, WI 53707-7856
Fax: (608) 221-7540

DME and CMN

TRICARE East Region

Attn: DME/CMN

PO Box 8923
Madison, WI 53707-8923
Fax: (608) 221-7542

Referral-related submissions

Phone: (800) 444-5445

Fax: (877) 548-1547

Behavioral health fax: (877) 378-2316

Submit in provider self-service for faster processing.

Appeals

Humana Military Appeals 

PO Box 740044
Louisville, KY 40201-7444
Fax: (877) 850-1046

hmhsrecon@humana.com

(preferred method)

Allowable charge appeals

Customer Service

TRICARE East Region
PO Box 8923
Madison, WI 53707-8923
Fax: (608) 221-7536

Claims reconsideration

Customer Service

TRICARE East Region
PO Box 8923
Madison, WI 53707-8923
Fax: (608) 221-7536

TPL Form

TRICARE East Region

Attn: Third Party Liability (TPL)

PO Box 8968
Madison, WI 53707-8968
Fax: (608) 221-7539

TPL Form (DD 2527)

TPL-requested medical records

TRICARE East Region

Attn: Third Party Liability (TPL)

PO Box 8968
Madison, WI 53707-8968
Fax: (608) 221-7539

Attorneys or insurance agencies

Humana Military

PO Box 740062
Louisville, KY 40201-7462
Fax: (800) 439-7482

Contact correspondence team

Capital and Direct Medical Education (CAP DME) cost reimbursement

Properly completed requests will be processed within 30 days, based upon the information submitted on the enclosed form. All providers must submit the applicable pages from their Medicare Cost Report when requesting reimbursement from the contractor.

Requests should be emailed to CAPDME@WPSIC.com.

Reimbursement of CAP DME costs form

Provider certification

(excludes ABA provider certification)

Providers must be TRICARE-certified to file claims and receive payment for TRICARE services. Certified providers must meet the licensing and certification requirements of TRICARE regulations and practice for that area of healthcare.

 

See more on becoming TRICARE-certified

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 to not combine requests.

Fax or mail submissions: TRICARE may ask for additional details, including for you to use the letter you received again as the coversheet for the information that you return. The letters, utilized as a coversheet, allow Humana Military to quickly document and identify beneficiaries via barcode and OCR recognition, 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, please ensure they are divided with coversheets. Humana Military accepts HIPAA-compliant electronic faxes sent using HIPPA-compliant companies, such as UpDox, Faxage or SRFax, among others available through a web search.