For faster claims processing, providers can now attach supporting documents when submitting electronic claims through self-service. We encourage providers to use the electronic claims process rather than using fax or secure messaging to submit additional documentation.
Provider self-service allows TRICARE East providers to enter and submit primary and secondary claims.
All electronic providers/groups must sign, and have on file, a Trading Partner Claims Agreement (“Agreement”) prior to submission of electronic claims.
All providers that will submit EDI claims will need to complete a self-registration process that includes an initial registration and the necessary request forms and business agreement(s).
Depending on your submitter type, you will need to complete request forms and business agreements after you have registered. They include:
Please note: LOB/TXN Production Approval form is not required for ERA or EFT.
Electronic Remittance Advice (ERA) is an electronic version of your explanation of payment or electronic remittance and allows you to automatically post your accounts.
Electronic Funds Transfer (EFT) is an electronic version of your paper check deposited directly into your checking or savings account.Register for ERA and EFT
We also encourage you to contact your clearinghouse, billing service or software vendor to discuss transition-related issues. A submitter (or trading partner) is someone who sends and receives electronic files. A submitter may be a provider and/or a clearinghouse.