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TRICARE West Region
PAYER

TRICARE West Region

This page contains information you can use to exchange healthcare transactions with TRICARE West Region using Stedi.
Use any of the following payer IDs to send transactions to TRICARE West Region using Stedi APIs or SFTP. Read the docs
Primary Payer ID
99726
Stedi Payer ID
TJPRF
Payer ID aliases
10189, 6286, 99726, SCWI0, TRICAR, TRICW, TRICWMA, TWEST
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with TRICARE West Region using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to TRICARE West Region.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to TRICARE West Region 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 West Region in real-time by sending a claim status check (276/277).
Supported, enrollment required

Professional claims

(837P)
Submit professional claims to TRICARE West Region and receive 277 claim acknowledgments asynchronously.
Enrollment process type
-
Supported, enrollment required

Institutional claims

(837I)
Submit institutional claims to TRICARE West Region and receive 277 claim acknowledgments asynchronously.
Enrollment process type
-
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from TRICARE West Region to review full payment details.
Enrollment process type
One-click
Not supported

Dental claims

(837D)
Submit dental claims to TRICARE West Region and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to TRICARE West Region.
Get started
Use Stedi's APIs to get fast and reliable connectivity to TRICARE West Region and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and TRICARE West Region 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 West