WPS administers the TRICARE for Life program. We are pleased to announce that your TRICARE for Life claims may now be submitted electronically. While most TRICARE for Life claims are electronically crossed from Medicare, some are not – including situations such as the beneficiary having a Medicare Advantage Plan. We also understand that provider's practice management systems/software require claim submission in certain situations (i.e. if claim payments are not received within a certain number of days etc.). When these situations occur, WPS encourages you to take advantage of the benefits of electronic claim submission.
If you are a provider that is new to WPS, please visit our Getting Started page to choose your claim filing option.
If you are a non-Medicare certified provider, you can now submit your claims electronically through our online Internet claim entry application available at the TRICARE 4U website. Before submitting claims on the TRICARE4U website you will also need to complete a Provider EDI Self-Registration form. When completing the Provider EDI Self-Registration form, please be sure to enter the ‘Submitter ID’ as WEBTDE and the ‘Submitter Name’ as TRICARE For Life to enable your online claim submission access. Also, please select ‘5010 837 Professional Claim Inbound’ in the Transaction Information section.
In order to initiate EFT, you must choose between receiving ERA or utilizing the TRICARE4u.com website. To enroll for these options see the Electronic Remittance Advice (ERA) section below.
Electronic Funds Transfer (EFT) is now available for TRICARE for Life providers. EFT replaces the paper checks you currently receive for TRICARE for Life claim payments. This process allows your payment to be deposited directly into your checking or savings account, and eliminates the delay or inconsistencies you may encounter with mail procedures.
EFT payments are typically deposited into your specified bank account two business days following the Defense Health Agency (DHA) budget approval. Electronic Funds Transfer payments have a different number sequence than your current paper checks.
The number of EFT transactions initiated by WPS is dependent on the number of bank accounts to which your office requires EFT payments to be posted. If you currently use more than one legacy provider number or NPI there will be more than one EFT transaction per day.
Click here to enroll for Electronic Funds Transfer (EFT).
Electronic Remittance Advice (ERA) is an electronic version of your Explanation of Benefits and allows you the ability to automatically post to your accounts, minimizing data entry by eliminating your manual posting procedures.
When you choose to receive Electronic Remittance Advice or ERA, your files will be sent to you in the ANSI (American National Standards Institute) X12 835 format (version 5010A1) and can be downloaded from the WPS Gateway Express or from your clearinghouse/billing service depending on how you choose to enroll.
Click here to visit the WPS Community Manager forms page which will further overview the available options to enroll for Electronic Remittance Advice (ERA).
You can also choose to register on www.TRICARE4u.com to view or print your claim payment information.