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  • 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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