TRICARE
Also covers / subsidiaries: TRICARE East (Humana Military), TRICARE West (TriWest / Health Net Federal Services), CHAMPUS
Core Payer & Clearinghouse Profile
Electronic Payer ID
12274
Differs by region — TRICARE East vs. West contractor.
Timely Filing Limit (TFL)
1 year from the date of service
Appeal Window
90 days from the determination (varies)
Clearinghouse Gateway
Via regional contractor
Provider Services
Varies — confirm via portal / clearinghouse
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
Varies — confirm via portal / clearinghouse
Administered regionally: Humana Military (East) and the West contractor. Use the correct region for the beneficiary.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for TRICARE.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under TRICARE.
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Metlife Tricare | 89070 | Par | None | 835 ERADental |
| Selman Tricare | 12274 | Non-Par | None | 837P837I270/271276/277Dental |
| Selman Tricare Supplemental Plans | TRSEL | Non-Par | None | 837P837I835 ERA |
| Tricare Active Reservists | DXTAS | Par | Required | 835 ERADental |
| Tricare East | 11218 | Non-Par | None | 837P837I270/271276/277Dental |
| Tricare East | TREST | Non-Par | None |
Resolution Tools for TRICARE Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims. Last verified 2026-06-24.
Tired of Chasing TRICARE Denials & Delayed Payments?
Aethera's billing specialists work TRICARE every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.