The claims payment subcontractor for the South Region is Palmetto Government Benefits Administrators (PGBA). Their website is www.mytricare.com and their phone number is 1-800-403-3950.
All TRICARE network provider claims must be submitted to PGBA for payment within one year of the date the service was rendered or according to the terms of your specific provider contract.
We may be experiencing temporary systems issues with the system that provides the claims data. If this is a continuing and/or recurring problem, please follow send us a message. Please be as specific as possible when describing the problem you are having, including any warnings or error messages you may receive from the system.
First, you must be logged on to MyHMHS for Providers. Once you are logged on, you should see a link that says "Claims Status". Click on that link to be taken to the Claims Status portion of our web site.
If you are not a registered user of our site, but would like to sign-up, simply click on the "sign-up" link located on the MyHMHS for Providers page.
This means that a provider agrees to accept the TRICARE allowable amount (dispersed by PGBA directly to the provider) as payment in full for services rendered.
When a beneficiary is enrolled in TRICARE Prime, managed care support contractor jurisdiction is determined by the beneficiary's regional enrollment. The contractor (Humana Military, Triwest or Healthnet) processes all claims for the enrollee no matter where the enrollee receives services. For a beneficiary who is not enrolled in TRICARE Prime, the contractor with the jurisdiction for the beneficiary's claim address shall process the claim no matter where the beneficiary receives services.
