How to Update Tricare East Claims and ERA Enrollment
WPS Military Veteran’s Health (MVH) has partnered with Humana Government Business (HGB) as a subcontractor for the new TRICARE East Region contract. Under this new regional contract, the TRICARE East Region is a merger of the existing TRICARE North and TRICARE South Regions.
Beginning January 1, 2018, WPS will be processing claims for the TRICARE East Region contract for Dates of Service - 1/1/2018 and after.
Due to Tricare East transitioning to a new subcontractor, all providers will be required to complete new claim and ERA enrollment with WPS and be approved by 1/1/2018. The processing time for this enrollment is 30 days. If enrollment is not completed and approved by 1/1/18 claims will reject and ERAs will not return to Trizetto.
See attached enrollment.
Run an ERA Analysis report
Below are the steps to identify payers you are sending claims to, but not receiving remits from. In ProviderSuite, access the EDI portal under the Billing Tab Hover over the "Manage Payments" tab and select "Run ERA analysis". By default, the claim ...
Strategic enrollment manager (STEM) manual and FAQs
Strategic Enrollment Manager (STEM) is a portal within Madaket Health, an enrollment partner of TriZetto Provider Solutions. This portal allows you to: Enter your administrative, practice, provider and payer information for enrollments. View ...