Tricare
TRICARE APPROVED HIPAA 5010
VENDOR/CLEARINGHOUSE LIST
The following list has been developed to assist providers in finding the Electronic Media Claims system best suited to their needs. This list provides contact information for software vendors with approved TRICARE EMC capabilities with Blue Cross and Blue Shield of South Carolina (PGBA, LLC). Vendors must be approved through the TRICARE EMC testing process or have at least one provider submitting live TRICARE claims electronically through their system.
This list is updated periodically and is subject to change between publications. This list should not be construed as a recommendation or sponsorship by Blue Cross and Blue Shield of South Carolina, PGBA, LLC, TRICARE, nor the TRICARE Management Activity, for any of the organizations that appear on the list. Specific services and financial arrangements must be made between vendors and providers. PGBA, LLC will not be a party to any such arrangement. This listing is provided solely for your convenience.
Electronic transactions include Institutional claims (837I), Professional claims (837P), Electronic Remittance Advice (835), Eligibility inquiry (270) and response (271), Claim status inquiry (276) and response (277).
If you have questions, contact the PGBA, LLC Technology Support Center at 1-800-325-5920 (option 2).
RelayHealth/McKesson (837I, 835)
700 Locust Street
Dubuque, IA 52001
800-527-8133
RealMed Corporation (270/271, 276/277, 837 I, 837P, 835)
510 East 96th Street
Indianapolis, IN 46240
317-814-6855
Web MD (837I, 837P, 835)
15 Century Blvd
Nashville, TN 37214
615-885-3700
Payerpath, Inc (837I, 837P)
9030 Stoney Point Parkway
Richmond, VA 23235
804-560-2400
Gateway EDI (270/271, 837I, 837P, 835)
501 North Broadway, 3rd floor
St. Louis, MO 63102
800-969-3666
Availity, LLC (837I, 837P)
7751 Belfort Parkway, Ste 350
Jacksonville, FL 32256
800-AVAILITY (282-45489)