Quick Reference Materials

The following materials will help familiarize you with TRICARE Prime^® Demo by CareSource Military & Veterans™. You will find key information that will make it easier to do business with us and assist you in serving our beneficiaries.  

TRICARE Prime Demo Resources    

Behavioral Health Resources  

The links below provide valuable information for behavioral health providers regarding CareSource Military & Veterans (CSMV): 

• Common Reasons for Behavioral Health Provider Claim Rejections (coming soon) – a brief explanation of claims rejections provided by Practice Insight 

Clinical Practice Guidelines  

CSMV adopts evidence-based, nationally recognized clinical practice and preventive health guidelines from federal agencies, medical professional specialty organizations and chronic health organizations. Visit our Health Care Links for more information on clinical practice and preventive health guidelines. 

Improving Quality Scores  

The following resources will help improve your patients’ satisfaction and your quality scores: 

• HEDIS Provider Reference Guide (coming soon)
• CPT II Coding Guide (coming soon)

Evolent Health 

We work with Evolent Health for radiology and imaging services. Call 1-866-642-9701 or visit www.RADMD.com for more information. 

Pregnancy Resources  

• Pregnancy Risk Assessment (coming soon)
• Completing a Well Visit During a Sick Visit (coming soon)

Quick Reference Guides  

Below you will find quick reference guides and additional resources: 

• Navigate Access and Availability Standards
• Navigate Clinical Practice Registry Guide
• Electronic Visit Verification FAQs (coming soon)
• Electronic Visit Verification Requirements (coming soon)
• ODM Telehealth Billing Provider Reference Guide (coming soon)
• Opioid Tool Kit 
• Provider Attestation FAQs (coming soon)
• Provider Immunization Quick Reference Guide (coming soon)
• Navigate Provider Portal Key Features Overview
• Navigate Provider Portal Quick Start Guide
• Navigate Quick Start Guide

Topics of Interest  

Access the following topics to quickly find additional information: 

• Beneficiary Plan Documents (coming soon)
• Fair Hearing Plan (coming soon)
• Medline Plus (coming soon)