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As of January 1, 2018 Tricare will be making the following changes: Claims contractor will no longer be PGBA New claims contractor will be Health Net Federal Services (HNFS) North Region and South Region are being removed East Region will replace the previous North and South Regions What does this mean for you? If you are a Tricare provider and would like to continue receiving EFT and ERA, you will need to fill out and submit the following applications: For ERA: Tricare 2018 ERA Pre-Enrollment Application For EFT: Tricare 2018 EFT Pre-Enrollment Application You may have received these applications in the mail however, we want to make this process as easy as possible for you so we have re-created these paper forms as fillable PDF documents! Please submit these completed applications to: HNFS at 1-888-282-2841 Attn: T2017 West EFT/ERA AND Procentive at 1-888-354-9053 (ERA application only) If we do not receive a copy, we will be unable to assist you in the application process. Thank you!
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