Coffee House - TRICARE Edition

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Across
  1. 4. Process includes obtaining caller's TRICARE ID, name, and one other piece of info before releasing PHI on their behalf to someone else
  2. 5. Transfer the provider here for certification inquiries
  3. 7. This plan type is similar to a PPO and allows the bene to choose their provider, network or non-network, without requiring a referral
  4. 8. Examples are plan type, claim status, and eligibility
  5. 10. If I can't find what I need in Mentor or other resources, I can reach out here for assistance
  6. 12. This is needed in order to release sensitive diagnoses to someone other than the beneficiary themselves (excludes providers)
  7. 13. An online self-service option for beneficiaries to make enrollment-related changes
  8. 14. Can be enrolled in Prime but cannot have POS benefits
  9. 15. Happens when TRICARE pays a provider in error and requests the money to be repaid
Down
  1. 1. By law, benes can only enroll in TPR if ADSM's home and work ____ are more than 50 miles from an MTF
  2. 2. Prime bene opts to use this benefit when seeing a provider without a referral
  3. 3. If I'm asked a question I'm unsure of, I should look here for information first
  4. 6. In agreement with the TRO, Humana Military allows _____ to specialist referrals.
  5. 8. This tool allows you to search providers able to be assigned as a PCM
  6. 9. Submitted by the specialist and will process within 2-5 business days
  7. 11. I should not disclose my location, last name, any self-PII, or communicate with my personal or work emails to avoid this
  8. 16. This is located on the claim in TIP360 and offers a bene-friendy breakdown of how a claim paid