gPM Clients: Message from Practice Insight: Payer Bulletin: NEW TRICARE East Region (September 25, 2017)

Payer Bulletin: NEW TRICARE East Region

Payer Bulletin:

The U. S. Department of Defense has awarded Humana Government Business the contract for the new TRICARE East Region. The new East Region combines the current North and South Regions for TRICARE, effective January 1, 2018. The contract work for claims administration and related activities was awarded to WPS Military and Veterans Health, the same claims and EDI contractor as TRICARE for Life and the Veterans Choice program.

Between now and the implementation date of 1/01/2018, providers serving the North and South regions are asked to prepare now for the transition of EDI processes for claims, ERA and EFT. Providers are expected to enroll anew for electronic transactions through the WPS gateway.

Action Required by Provider:

Providers utilizing Practice Insight should use the link below for the EDI/ERA enrollment instructions.

NEW Practice Insight Enrollment Instructions for TRICARE East

Note: Providers who already submit claims for TRICARE for Life or one of the Veterans Choice programs (VAPCCC), will be recognized by WPS and will not be asked for another business agreement. However, providers who are completely new to the WPS EDI gateway will receive an email with instructions to sign and return a business agreement.

Additional Resources:

You may also open a ticket with gSupport if further enrollment assistance is needed.