Office 2007 Key How to Become a TRICARE-Accepting

Supplier TypeDefinitionQualificationsCertified Providers A “certified” (or authorized) supplier is a doctor,Windows 7 Home Premium Key, hospital or medical supplier who has met all best standards of the medical community.Verified as having met standards by a TRICARE regional contractorProperly licensed and credentialed by the state and accredited by a national organizationSpecifically placed on a list of suppliers as certified and authorized to provide benefits under TRICAREIs not a TRICARE network providerParticipating Suppliers A “participating” provider is a certified supplier who is said to “accept TRICARE,Office 2007 Key,” “accept assignment” or “accept TRICARE on assignment.”Agrees to accept the maximum TRICARE allowable charge as payment-in-full for servicesFiles the claim for the patientReceives the payment check from TRICAREChooses to “participate” or not on a case-by-case basisIs not a TRICARE network providerNetwork Companies A network supplier is a TRICARE-certified provider who has agreed to serve TRICARE beneficiaries as part of a contractor-operated group of health care companies and facilities.Signs a contract agreement with the managed care support contractor for the regionAgrees to accept a negotiated rate as payment-in-full for medical care or servicesAgrees to file the claim for the beneficiaryProvides services to TRICARE Prime and TRICARE Standard beneficiariesReceives a higher volume of patientsPlaced on the worldwide referral list of TRICARE Network Suppliers for all TRICARE beneficiaries within their contractor’s region