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HMHS, a subsidiary of Humana Inc., began administering the TRICARE program on July 1, 1996 and currently serves approximately 2.9 million eligible TRICARE beneficiaries.
Who is eligible for the Humana Military?
The problem stems from the fact that most Tricare managed care support contractors have negotiated physician reimbursement rates that are even lower than those paid by Medicare. Unhappy with their fees, some major health care provider groups have simply dropped out of the system.
Does TRICARE Humana require prior authorization?
Humana Military requires prior authorization for the below services. A reduction in provider payment will be applied for non-compliance with prior authorization requirements. If a beneficiary has Other Health Insurance (OHI) that will be the primary payer, prior authorization is not required by TRICARE.
How to submit a Humana prior authorization form?
You can submit a prior authorization request form by following the options below: Online: Sign in to Availity Essentials (opens in new window) to start a request. Phone: Call 844-825-7898 (Medicare), 844-825-7899 (commercial) Fax: 469-913-6941 (Please note, this fax number is not applicable to Medicaid.
Is Humana Military the same as TRICARE?
The purpose of this form is to provide Humana Military (TRICARE Health Plan [THP]) with a means to request the use and/or disclosure of an individuals Protected Health Information (PHI) to an individual or organization, which in many cases, is a spouse, close relative or caregiver.
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Verify your eligibility TRICARE is a health program for Uniformed Service members and their families, National Guard/Reserve members and their families, Survivors, former spouses, Medal of Honor recipients and their families, and others registered in the Defense Enrollment Eligibility Reporting System (DEERS).
tricare east prior authorization form pdf
TRICARE Select
Nov 21, 2024 You may need pre-authorization from your regional contractor for some services. TRICARE East RegionHumana Military. 800-444-5445.
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