Triwest Patient Reimbursement Form

Help your Triwest clients get coverage.. provide a claim form and have then submit the Triwest reimbursement form.

Site:  https://tricare.mil/FormsClaims/Forms/ClaimForms/Medical

Form: http://www.esd.whs.mil/Portals/54/Documents/DD/forms/dd/dd2642.pdf

Claims Address: https://tricare.mil/FormsClaims/Forms/ClaimForms/Medical/Addresses

 

 

TRICARE Policy Manual 6010.57-M Chapter 11 Section 3.12

TRICARE Policy Manual 6010.57-M Chapter 11 Section 3.12

Certified Nurse Midwife (CNM)  Authority: 32 CFR 199.6(c)(3)(iii)(D)

1.0 ISSUE   Certified Nurse Midwife (CNM).

2.0 POLICY
2.1 A CNM may provide covered care independent of physician referral and supervision,
provided the nurse midwife is:
2.1.1 Licensed, when required, by the local licensing agency for the jurisdiction in which the
care is provided; and
2.1.2 Certified by the American Midwifery Certification Board (AMCB). To receive certification, a
candidate must be a Registered Nurse (RN) who has completed successfully an educational
program approved by the AMCB, and passed the AMCB National Certification Examination.
2.2 The services of a RN who is not a CNM may be authorized only when the patient has been
referred for care by a licensed physician and a licensed physician provides continuing supervision
of the course of care.
3.0 EXCLUSION
A lay midwife who is neither a CNM nor a RN is not an authorized provider, regardless of
whether the services rendered may otherwise be covered.

Triwest/Tricare Health Net Federal Services NO LONGER covering claims for LM, CPM…

It has certainly been tough switching all my providers from Triwest UHC to HN. I found out today while checking on claims (that I was required to wait until 5/1/18 to follow up on), that Triwest HN will not credential nor process claims for Midwives that are not CNMs. Please see the manual I was directed to.

http://manuals.tricare.osd.mil/DisplayManualPdfFile/TO08/174/AsOf/tp08/c11s3_12.pdf

 

 

Attend Cigna FREE EFT Webinar – Get your money and claims processed faster!

Electronic Funds Transfer (EFT) is now Cigna’s required standard payment method. When you enroll in EFT, your payments will be deposited directly into your bank account, eliminating the need to wait for checks in the mail or make trips to the bank. The estimated administrative cost to receive a paper check payment is $2.89, compared to only $0.69 for the same electronic payment – a savings of 76 percent.*

Join us for an interactive, web-based demonstration about how to enroll in EFT on the Cigna for Health Care Professionals website (CignaforHCP.com). In addition, you’ll learn how easy it is to locate your online remittance reports for these payments. Register for a webinar today, and find out how EFT can benefit you and your patients with Cigna coverage.

Select a webinar date and register using the directions below.

Date Time (ET) Meeting number
Wednesday, May 30, 2018 1:30 PM 711 902 669
Thursday, May 31, 2018 10:00 AM 714 414 703
Friday, June 1, 2018 12:00 PM 713 091 368
Monday, June 4, 2018 11:00 AM 718 517 141
Tuesday, June 5, 2018 4:00 PM 718 154 322
Wednesday, June 6, 2018 12:00 PM 713 922 055
Thursday, June 7, 2018 3:00 PM 713 219 473
Friday, June 8, 2018 2:00 PM 715 045 725

 

Preregistration is required for each webinar:

To register for a webinar:

1. Click the link on the date of the webinar you’d like to attend from the options above.
2. Click the Register button
3. Enter the requested information and click Register.
4. You’ll receive a confirmation email with meeting details.
   
  * Council on Affordable Quality Healthcare® (CAQH)
Three ways to join the audio portion of the webinar:

Option 1 – When you link to the webinar, “Call me” will appear in a window. If you have a direct outside phone line, you can click this option. You’ll receive a phone call linking you to the audio portion.

Option 2 – Call 1.866.205.5379. When prompted, enter the corresponding Meeting number shown above. When asked to enter an attendee ID, press #.

Option 3 – Call in using your computer.

Questions?

Contact Cigna_Provider_eService@Cigna.com