Health Care Providers

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Health care providers who provide medical care services for our TRICARE/CHAMPVA Supplement Plan insureds can find what they're looking for here. We strive to provide accurate and prompt service, and our dedicated professionals are ready to help.

Supplemental Coverage

In general, if the health expense is covered by TRICARE or CHAMPVA, the Supplement Insurance plan will also provide coverage, subject to applicable deductibles and pre-existing condition exclusions. The TRICARE or CHAMPVA Supplement Insurance Plan provides benefits to help pay the insured’s cost share for inpatient and outpatient care, including doctor visits, emergency room care, and prescription medications. The Supplement Insurance Plan also pays 100% of Covered Excess Charges up to the TRICARE/CHAMPVA Legal Limit. Refer to policy for exclusions, limitations, and terms under which the policies can be continued in force or discontinued. The supplement is secondary insurance to TRICARE/CHAMPVA.

Online Eligibility Checker
A provider can check eligibility by calling us at 888-217-7184, option 1 or by using the online Eligibility Checker. Please make sure that you have the patient's Insured ID/Certificate Number (located on the front of the ID card) when requesting coverage or eligibility inquiries.

For assistance with submitting Real-Time eligibility inquiry transactions, contact your Practice Management System Vendor or Change Healthcare Customer Support. Refer to Change Healthcare Payer Dictionaries/Guidelines for detailed descriptions. Updated Payer Lists may be obtained from your software vendor or www.changehealthcare.com.
Claims Information

Check Claim Status

Providers can click the button below to check claim status.

You will need the following information:

1. Policyholder Policy ID. This will start with the letter P followed by 9 numbers.

2. Billing zip code of the policyholder

3. Birthdate of the patient

4. Date of service

 

 

 

For all other inquiries, please email us by clicking the button below.

**Please note: SelmanCo Customer Service Representatives do not have access to Provider Claim Status.**

 

Submit a Claim

Please include a copy of the primary EOB with your claim form. Please note, our claims address has changed in 2025.

By Mail: 
Attn: Claims Dept.
SelmanCo
PO Box 21611
Eagan, MN 55121

By Fax: 301-926-2621

 

Payer IDs for Claims

If you have submitted health care claims to SelmanCo for services rendered for your TRICARE or CHAMPVA Supplement Plan insureds, the information below can help you save time. Please note:

  Real Time Eligibility Benefit Inquiry and Response 270/271 Transactions Real Time Claim Status Inquiry and Response 276/277 Transactions Claim Submission 835/837 Transactions EFT Remit Images
Dates of Service on or After January 1, 2019 Payer ID 52214 Payer ID 52214 Payer ID 52214 Payer ID 52214 Payer ID 52214

 

 

 

 

 

 

 

Click the Link Below For Definitions of Claim Remark Codes

bit.ly/claimformcodes

For assistance, send us a message. Or, call 800.735.6262.

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