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TRICARE Civilian Health and Medical Program of the Uniformed Services

TRICARE Civilian Health and Medical Program of the Uniformed Services

This page contains information you can use to exchange healthcare transactions with TRICARE Civilian Health and Medical Program of the Uniformed Services using Stedi.
Use any of the following payer IDs to send transactions to TRICARE Civilian Health and Medical Program of the Uniformed Services using Stedi APIs or SFTP. Read the docs
Primary Payer ID
TRICE
Stedi Payer ID
GHCMX
Payer ID aliases
TRICE
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with TRICARE Civilian Health and Medical Program of the Uniformed Services using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Not supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to TRICARE Civilian Health and Medical Program of the Uniformed Services.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to TRICARE Civilian Health and Medical Program of the Uniformed Services to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to TRICARE Civilian Health and Medical Program of the Uniformed Services in real-time by sending a claim status check (276/277).
Not supported

Professional claims

(837P)
Submit professional claims to TRICARE Civilian Health and Medical Program of the Uniformed Services and receive 277 claim acknowledgments asynchronously.
Not supported

Institutional claims

(837I)
Submit institutional claims to TRICARE Civilian Health and Medical Program of the Uniformed Services and receive 277 claim acknowledgments asynchronously.
Not supported

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from TRICARE Civilian Health and Medical Program of the Uniformed Services to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to TRICARE Civilian Health and Medical Program of the Uniformed Services and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to TRICARE Civilian Health and Medical Program of the Uniformed Services.
Get started
Use Stedi's APIs to get fast and reliable connectivity to TRICARE Civilian Health and Medical Program of the Uniformed Services and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and TRICARE Civilian Health and Medical Program of the Uniformed Services today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • Tricare (CHAMPUS)
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