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Humana Military offers self-service tools for beneficiaries, providers and government associates. Log in here.
Your guide to TRICARE certification, policies to follow and answers to your key questions on referrals, claims, authorizations and more.
Humana Military provides military healthcare services for the TRICARE East Region, including referrals, authorizations, and claims.
Providers should verify eligibility with Humana Military. The quickest, easiest way to do this is through provider self-service. Active Duty Service Members (ADSM), family members over age 14, retirees and family members will have one of two valid military ID cards shown below.
Certain provider types are recognized as TRICARE-authorized providers, meaning they are eligible to provide services and submit claims for TRICARE beneficiaries. All TRICARE-authorized providers must be certified under TRICARE regulation and must have that certified status verified in the East Region.
Provider self-service offers an easy and convenient way for TRICARE providers to submit claims, referrals and authorizations, check patient eligibility and more.
Provider self-service. Verify patient eligibility, create and review referrals and authorizations, submit claims and check claim status, look up codes, view remittances, access pharmacy data by patient, access quality and affordability data and make changes to your provider practice information all in one place.
Receives care for clinical preventive services when they see a non-network provider; Self-refers to a civilian specialty care provider after a referral has been authorized to a military hospital or clinic (MTF) specialty care provider
Humana Military, in partnership with TRICARE, is proud to serve beneficiaries in the East Region. Beneficiaries can find information on benefits, referrals, plan options and more here.
TRICARE Prime requires referrals for specialist office visits and some diagnostic services (if you receive services that require a referral without obtaining one, you are using your Point of Service (POS) option). Your PCM works with Humana Military for the referral and authorization.