As the healthcare program for uniformed service members, retirees, and their families, TRICARE supplements military healthcare resources with civilian providers to offer quick access and high-quality services.
TRICARE defines a provider as a person, business or organization that provides healthcare. Certain provider types are recognized as TRICARE-authorized providers, meaning they are eligible to provide services and submit claims for TRICARE beneficiaries. All TRICARE-authorized providers must be certified under TRICARE regulation and must have that certified status verified in the East Region.
After TRICARE-authorized providers have completed the TRICARE certification process, they can choose to become a non-network participating provider, a non-network non-participating provider or a TRICARE network provider. All institutional providers must be participating providers. A TRICARE network provider has been certified for TRICARE and has a contract with Humana Military, following specific compliance rules defined for network providers. Providers can request to join the network once they are certified.
