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Thread: Tricare and asc claims

  1. #1
    Join Date
    Apr 2007

    Question Tricare and asc claims

    AAPC: Back to School

    We are an ASC that bills out our orthopaedic facility claims on a HCFA 1500 forms but Tricare is requiring that these are submitted in the UB format. Our system is not set up that way nor has any of our staff billed or coded for this format.

    If anybody is set up this way would you mind contacting me

    Thank you for all the help
    Tracy Kirke


  2. #2

    Smile tricare and asc claims

    As a ASC coder myself, i am really surprised that you have been sending all of your commercial claims on HCFA 1500. However, it basically comes down to what your contracts with each commercial payer specifies. For instance, as an asc most of our contracts required us to bill on a UB04, with the exception of Medicare and Medicaid. We do however, have a few commercial payer where the contract states we must billl on a the HCFA 1500. Tricare has always required us to bill on UB04.
    Needless to say your software program should have the capability to send both types of claims and the ability to specify in your program which claims are hcfa and which are ubo4. do you mind if i ask what software you use to bill with? you can email me if you like at

    Caprice W., CPC
    Henderson, NV
    Last edited by capricew; 07-31-2010 at 02:28 PM. Reason: typo

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