Quickly learn how to bill Tricare for mental health claims.

Tricare is a health care program for members of the United States military. There are nearly 10 million people enrolled in Tricare nationwide. Tricare is divided into the East and West region. Check what area you’re in. In 2025, the Tricare West contractor changed to Triwest.

How to Bill Tricare

Get a copy of the client’s Tricare Insurance Card.

Follow our benefits verification script to verify your paneling status with the client’s plan. For Tricare out of network benefits are not covered or have significantly worst coverage. You can also use the Tricare provider portal to check their status. It is important that you check whether a referral or authorization are required. Unlike private insurance or Medicare where a pre-authorization requirement has become more uncommon, it is still commonplace for Tricare plans.

You can also have us at TheraThink handle it for you. We handle verification and claims with Tricare daily.

Tricare Claims Address: Where To Send Tricare Claims

Where to send Tricare Claims depends on which region they are in.

Tricare West (Triwest) Claims

Tricare West claims should be sent to:

Electronic Payer ID: 99726
Claims Mailing Address: TRICARE West Region
Claims Department
P.O. Box 202112
Florence, SC 29502-2112
Phone Number: 1-888-TRIWEST (1-888-874-9378)

Tricare East Claims

Tricare East claims should be sent to:

Electronic Payer ID: TREST
TRICARE East Region claims
PO Box 7981
Madison, WI 53707-7981
Phone Number: 1-800-444-5445

What is Tricare’s Timely Filing Limit (TFL)?

Standard Tricare claims have a timely filing limit of 12 months after the date of service.

Do I Need To Be In-Network In Order to Bill Tricare?

Typically yes you need to be in network in order to bill Tricare. We recommend verifying online or calling and verifying the client’s plan to ensure that you will be compensated for your services.

What is Tricare For Life

Tricare for Life is coverage where you are both Tricare and Medicare eligible. For these claims you will file the claims to Medicare first and then to Tricare.

How to Bill Tricare Telehealth

Tricare’s Telehealth Modifier Code is: 95. This should be used on Telehealth claims.

Which CPT Codes Should I Use to Bill Medicare?

Mental Health Providers will use:

1. 90791
2. 90834
3. 90837

This is a Nightmare!

We can help you sort out these sorts of things without your input whatsoever.  Our expertise comes in handy daily when parsing out these carve out policies (in all states).  Learn how we can handle your mental health billing today.