We’re committed to serving you with clear policies, efficient service and fast claims turnaround, so you can focus on your patients’ well-being.
PGBA, LLC is Humana Military’s partner for claims processing in the TRICARE South Region. PGBA's website is myTRICARE.com.
Check Claims Status: Quickly and easily check the status of your claims by using the secure Self-Service for Providers on our website or by calling the PGBA Interactive Response System at 1-800-403-3950.
TRICARE rates: Allowable charges for ambulatory surgery and information about durable medical equipment, prosthetics, orthotics and supplies. (link to rates and reimbursement section of TRICARE)
Other Health Insurance (OHI): TRICARE network providers must file their patients’ TRICARE claims, even when the patient has OHI. (link to OHI section of provider handbook)
National Provider Identifier (NPI): Providers must submit the appropriate NPI on all HIPAA-standard electronic transactions.
PGBA may delay or deny claims for a number of reasons. These resources offer tips to help facilitate prompt claims payments.
Electronic Media Claims (EMC), Electronic Remittance Advice (ERA) and Electronic Funds Transfer (EFT)
TRICARE network providers must file all claims electronically using one of our EMC options.
To contact PGBA by mail, submit correspondence to:
TRICARE South Region Claims Department
P.O. Box 7031
Camden, SC 29021-7031
Wisconsin Physicians Service (WPS)/TFL is the TRICARE For Life (TFL) administrator. Contact WPS/TFL at www.TRICARE4u.com or 1-866-733-0404.