This section organizes information about health insurance companies and government agencies that reimburse for office visits.

Do you have information to share about reimbursement for clinical services? This would include references for coding level of service, regional Medicare and Medicaid decisions and rules, national Workman's Compensation Carrier information, and commercial payers, such as Blue Cross Blue Shield. If so, please contact us for information on submitting information for consideration.

Tricare
Please follow this link to information concerning Tricare, at the Tricare site, or on this site. Tricare is the military insurance program for active, reserve, guard, defendants, and retired personnel.

This page serves as an introduction to how medical providers can request an application, and submit a request to become an approved provider. Military families tend to be stable and directed, and are usually excellent patients. Payment for services is usually made without delay; of Tricare Standard, Tricare Prime, and Tricare for Life, the Tricare Prime is an HMO, and referrals can be as difficult as any HMO.

When a servicemember or their families become eligible for Medicare, they must sign up for Medicare part B to be enrolled in Tricare. Tricare always serves as the secondary payer, and so covers the patient's copays and deductibles.

Please consider allowing servicemembers with Tricare to join your practice. It is the least we can do to honor their service to their country.

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Medicare
application and rules

Coding
office visits for reimbursement

General Reimbursement Information
from the Kentucky Academy of PAs, go to Reimbursement Q&A

Physician Delegation of tasks in Skilled Nursing Facilities (SNFs) and Nursing Facilities (NFSs)
PDF file             CMS.hhs.gov