Humana Military has purchased the Health Net Provider Network and is in the process of transitioning the Tricare contract from Health Net to Humana, effective January 1, 2018. Wisconsin Physicians Service (WPS) is the new TRICARE East Region claims processor.
All providers submitting Electronic Data Interchange (EDI) claims directly to WPS, must complete a self-registration process that includes an initial registration and the necessary request forms and business agreement(s).
The self-registration link and more information can be found here: https://www.humanamilitary.com/provider-east/emc
EDI Helpdesk Team 1-800-782-2680 (option 1)
EDI Marketing Team 1-800-782-2680 (option 2)
Provider Self-Service portal:
By registering you can:
- Check patient profile including – verify eligibility, patient claims, coverage, & referral status
- Create new referral authorization requests
- Check status or update approved referral authorization requests
- CPT and DX code look up
- Claims status by patient
- Provider location addresses, specialties by location, types of service by location, and more
Register for Provider self-service portal: