BILLING NUMBER. The certified marriage and family therapists’ billing number for all mental health services rendered is the certified marriage and family therapist’s Social Security Number (SSN) or Employer’s Identification Number (EIN) or National Provider Identifier (NPI). This billing number must be used until the provider is officially notified by TRICARE of a change. The certified marriage and family therapist’s number is shown on the face sheet of this agreement. It is the only billing number that will be accepted by TRICARE claims processors after the effective date of this agreement for becoming an authorized certified marriage and family therapist.
BILLING NUMBER. The billing number for all OTP services is the OTP’s Employer’s Identification Number (EIN). In most situations, each EIN must enter into a separate Participation Agreement with the Director, DHA, or designee. This number must be used until the provider is officially notified by DHA or a designee of a change. The OTP’s billing number is shown on the face sheet of this agreement.
BILLING NUMBER. The number used for billing of all hospice care is the hospice program’s Employer Identification Number (EIN). This number must be used until the provider is officially notified by DHA of a change. The hospice program’s billing number is shown on the face sheet of this agreement. It is the only billing number that will be accepted by DHA claims processors after the effective date of this hospice program under TRICARE.
BILLING NUMBER. The billing number for all RTC services is the RTC’s Employer’s Identification Number (EIN). In most situations, each EIN must enter into a separate Participation Agreement with the Director, DHA, or designee. This number must be used until the provider is officially notified by DHA or a designee of a change. The RTC’s billing number is shown on the face sheet of this agreement.
BILLING NUMBER. The unique number assigned to a specific birthing center by the contractor which is used by the birthing center to identify all claims for reimbursement from the TRICARE.
BILLING NUMBER. The billing number for all IOP services is the IOP’s Employer’s Identification Number (EIN). In most situations, each EIN must enter into a separate Participation Agreement with the Director, DHA, or designee. This number must be used until the provider is officially notified by DHA or a designee of a change. The IOP’s billing number is shown on the face sheet of this agreement.
BILLING NUMBER. The number used for billing of all hospice care is the hospice program's employer identification number (EIN). This number must be used until the provider is officially notified by TMA of a change. The hospice program's billing number is shown on the face sheet of this agreement. It is the only billing number that will be accepted by TMA claims processors after the effective date of this hospice program under TRICARE / CHAMPUS.
BILLING NUMBER. The billing number for all partial hospitalization services is the PHP's employer's identification number (EIN). This number must be used until the provider is officially notified by TMA or a designee of a change. The PHP's billing number is shown on the face sheet of this agreement.
BILLING NUMBER. The billing number for all substance use treatment is the SUDRF's employer's identification number (EIN). This number must be used until the provider is officially notified by TMA or a designee of a change. The SUDRF's billing number is shown on the face sheet of this agreement.
BILLING NUMBER. The billing number for all residential treatment center services is the RTC's employer's identification number (EIN). This number must be used until the provider is officially notified by TMA or a designee of a change. The RTC's billing number is shown on the face sheet of this agreement.
