Coverage profile
Work TRICARE East across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with TRICARE East.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with TRICARE East.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for TRICARE East.
Other aliases
Also known as
- 11218
- 1253
- 2872
- 68299
- 99727
- TREST
- TRICRE
- Humana Military
- TRICARE East Region
- Tricare North
- Tricare South
- TRIWEST - TRICARE
2027 maternity billing research
When does TRICARE East change OB/GYN billing?
The cited TRICARE manual section describes an all-inclusive global maternity professional fee. Codes 59400 or 59510 may be allowed only when the billing professional or a supervised alternate provides all segments of maternity care. Separate segment billing and additional allowances for extraordinary services may be reimbursed subject to the section's limitations and review requirements. This section contains no 2027 CPT transition instructions.
- Transition start
- Not stated in cited section
- Billing start
- No 2027 billing date stated
- Published
- Not stated in source
- Current As Of
- August 2026
Scope: TRICARE medical professional obstetrical reimbursement for network and non-network providers, subject to DHA-approved alternatives specifically included in network provider agreements; not dental, vision, or East-specific 2027 implementation guidance.
TRICARE Reimbursement Manual, Chapter 1, Section 18 — Maternity Services. Verify the payer source before claim submission.
Frequently asked questions
TRICARE East payer FAQs
How do I check claim status with TRICARE East?
Providers check TRICARE East via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate TRICARE East portal follow-up?
Yes — portal retrieval is required when 276/277 is missing or stale. See payer portal automation and learn why 276/277 is not enough.
What is the payer ID for TRICARE East?
The primary payer ID for TRICARE East is 99727. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What is the provider portal for TRICARE East?
The provider portal for TRICARE East is https://infocenter.humana-military.com. Available features depend on the payer and your account.
What are the 837 payer IDs for TRICARE East?
The 837P and 837I payer ID for TRICARE East is 99727 via Stedi.
What is the 835 payer ID for TRICARE East?
The 835 payer ID for TRICARE East is 99727 via Stedi.
What is the 270 payer ID for TRICARE East?
The 270 payer IDs for TRICARE East are 99727 via Stedi and 99727 via Availity.
What is the 276 payer ID for TRICARE East?
The 276 payer ID for TRICARE East is 99727 via Stedi.
What states does TRICARE East operate in?
TRICARE East operates in AL, AR, CT, DC, DE, FL, GA, IA, IL, IN, KY, LA, MA, MD, ME, MI, MO, MS, NC, NH, NJ, NY, OH, OK, PA, RI, SC, TN, TX, VA, VT, WI, and WV.
Routing reference
TRICARE East payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | TRICARE EastSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | AL, AR, CT, DC, DE, FL, GA, IA, IL, IN, KY, LA, MA, MD, ME, MI, MO, MS, NC, NH, NJ, NY, OH, OK, PA, RI, SC, TN, TX, VA, VT, WI, WVSource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | 99727Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 99727Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 99727Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 99727Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 99727Source: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | 99727Source: Stedi payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: TRICARE East. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer ID; matched record: TRICARE EAST. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: TRICARE East. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Payer contact directory
TRICARE East phone and fax numbers
Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.
- Other stated context phone
- (188) 288-2227AETNA
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(188) 288-2227 | Other stated contextBenefit context: Other or Additional Payor |
| |
| phone(234) 567-8910 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(325) 793-4000 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(402) 458-4800 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(404) 982-8900 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(410) 581-3655 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(501) 378-2363 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(626) 356-1004 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(703) 933-8321 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(800) 220-7898 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(800) 244-6224 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(800) 245-6419 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(800) 292-4910 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(800) 297-6972 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(800) 321-8318 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(800) 323-9930 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(800) 333-2227 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(800) 410-7778 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(800) 445-7490 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(800) 475-8751 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(800) 519-8374 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(800) 572-1003 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(800) 605-8301 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(800) 638-3120 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(800) 638-8884 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(800) 646-9329 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(800) 669-1830 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(800) 722-4714 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(800) 727-2227 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(800) 842-5975 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(800) 942-0278 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(804) 354-7000 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(804) 673-1678 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(866) 896-6625 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(866) 939-3633 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(877) 691-5856 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(888) 550-2583 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(888) 715-5609 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(888) 802-3862 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(888) 930-2345 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(888) 999-9862 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(979) 830-7388 | Other stated contextBenefit context: Other or Additional Payor |
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| phone(999) 999-9999 | Other stated contextBenefit context: Other or Additional Payor |
|
Phone and fax numbers sourced directly from the payer response