Frequently Asked Questions (FAQ)

• Appeal submission process FAQs
• Claim status policy FAQs
• Clear and Legible Reports (CLR) FAQs
• Freestanding Emergency Room (ER) FAQs
• Provider eligibility FAQs
• Provider roster upload self-service FAQs
• Reconsideration FAQs
• Recoupment summary search via provider self-service FAQs

Tipsheets

• Behavioral healthcare services
• Pediatric PCM information
• Proper submission paths for TRICARE claims and claims-related documents
• Provider claims submission
• Provider resources
• Recoupment tip sheet for Applied Behavior Analysis (ABA) providers
• TRICARE covered clinical preventive services
• TRICARE DME guidelines
• TRICARE Prime and Select comparison
• TRICARE Referrals and prior authorizations
• TRICARE Right of First Refusal process
• Using provider self-service

Presentations

• Provider orientation
• Care Considerations and provider feedback
• Approach to code editing