Payer Information


Tricare West Region

Payer ID: 99726

Electronic Services Available (EDI)

Professional/1500 ClaimsYESEDI Enrollment Required
Institutional/UB ClaimsYESEDI Enrollment Required
EligibilityYESPrime
Electronic Remittance (ERA)YESERA Enrollment Required
Secondary ClaimsYES
This insurance is also known as:
Palmetto TriWest
571132733
PGBA,LLC
5648
6286 Other ID's: WESTR, SCWI0, 12C01 Custom Formatted Response
This insurance carrier returns a custom formatted response file. Claim.MD is one of the only clearinghouses that imports and returns a standardized version for these type of responses. If you submit claims to this insurance through any other system you may not be notified of all claim rejections or warnings returned by the insurance carrier.

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