Processing Claims for Out-of-Region Care - Tricare




Claims for Beneficiaries Assigned to US Family Health Plan Designated Providers

Designated providers are facilities specifically contracted with the Department of Defense to provide care to beneficiaries enrolled in the US Family Health Plan (USFHP). The USFHP is offered in six geographic regions in the United States. Although it provides the TRICARE Prime benefit, the USFHP is a separately funded program different from the TRICARE program administered by Humana Military. The designated provider is responsible for all medical care for a USFHP enrollee, including pharmacy services, primary care, and specialty care.

If you provide care to a USFHP enrollee outside the network or in an emergency situation, claims must be filed with the appropriate designated provider at one of the addresses listed in Figure 8.3. Do not file USFHP claims with Humana Military.
USFHP Designated Providers

Martin’s Point Health Care
P.O. Box 11410
Portland, ME 04104-7410
Brighton Marine Health Center
P.O. Box 9195
Watertown, MA 02471-9195
St. Vincent Catholic Medical Centers of New YorkUS Family Health Plan at SVCMC
P.O. Box 830745
Birmingham, AL  35283-0745
Johns Hopkins Medical Services Corporation
6704 Curtis Court
Glen Burnie, MD 21060
CHRISTUS Health
US Family Health Plan
Attn: Claims
P.O. Box 924708
Houston, TX 77292-4708
Pacific Medical Clinics1200 12th Avenue South, Quarters 8 & 9
Seattle, WA 98144-2790

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