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TRI CARE Non-Network Physician Assistant Individual Application First Name: MI: Last Name: Gen: Title: Social Security Number: NPI# Physical Address (Street Address): Billing Address (If Different):
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Tricare nonnetwork physician assistant refers to a physician assistant who is not part of the Tricare network of healthcare providers.
Healthcare providers who have provided services to Tricare beneficiaries but are not part of the Tricare network are required to file as nonnetwork physician assistants.
To fill out tricare nonnetwork physician assistant, healthcare providers must submit the necessary documentation and claims to Tricare for reimbursement.
The purpose of tricare nonnetwork physician assistant is to ensure that Tricare beneficiaries can access care from a wider range of healthcare providers, even if they are not part of the Tricare network.
Healthcare providers must report details of the services provided, fees charged, and any other relevant information that Tricare requires for reimbursement.
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