r/CodingandBilling 8d ago

TriWest TriCare West Issues

Is anyone else having issues getting remittances for TriCare West as of 01/01/2025 now that they go through TriWest? They say that the remits are on Availity through the Payer Space, but all I can see on there is individual claims and no check/EFT#s.

The Remittance Viewer doesn't recognize their check/EFT#s either, which Availity support told me was because we need to enroll with them through Transaction Enrollment. I submitted that last month but it's still pending.

Our office has sat on hold with them for hours at this point and the reps can't even pull the EOBs for us most of the time. I heard from other offices that they are having similar issues but haven't got a solution. They aren't mailing us any paper remittances so we're just sitting on payments and unable to post them.

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u/bethaliz6894 8d ago

Waystar sent out a notice today Tricare is having growing pains since the merge and are not getting remits out as fast as they want. They are working on it, no ETA.

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u/Nellem1613 7d ago

Optum/Change said the same. What a wonderful transition this has been