TRICARE East
TRICARE East is a government / military health plan operating in Alabama, Arkansas, Connecticut, and 30 more states. For an ASC, what matters isn't the logo. It's how TRICARE East pays: where it runs rich, where it runs thin, and how its reimbursement compares with peer plans for the same procedures.
Pilot Analysis
Get the complete TRICARE East analysis
Tell us where to send it. Our team will prepare an analysis of TRICARE East covering rates by code, market position, and underpaid areas, and email it to you within 5-10 business days. Need it faster? Book a demo.
What Insights reveals
How TRICARE East pays
See how TRICARE East reimburses across procedures and markets, benchmarked against the peer plans competing for the same cases. Not a raw rate sheet, a read on where it sits.
Geographic footprint
TRICARE East's presence spans Alabama, Arkansas, Connecticut, and 30 more states. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for TRICARE East and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive TRICARE East's volume, so you know where a rate change moves the needle.
Whether you're an ASC benchmarking a contract or a provider team looking TRICARE East up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with TRICARE East
- Payer ID
- 99727 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to TRICARE East through a clearinghouse.
- Eligibility verification
- Coverage and benefits for TRICARE East members are verified before the date of service, through a clearinghouse using payer ID 99727or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with TRICARE East directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of TRICARE East the way it pays.
- Alabama
- Arkansas
- Connecticut
- District of Columbia
- Delaware
- Florida
- Georgia
- Iowa
- Illinois
- Indiana
- Kentucky
- Louisiana
- Massachusetts
- Maryland
- Maine
- Michigan
- Missouri
- Mississippi
- North Carolina
- New Hampshire
- New Jersey
- New York
- Ohio
- Oklahoma
- Pennsylvania
- Rhode Island
- South Carolina
- Tennessee
- Texas
- Virginia
- Vermont
- Wisconsin
- West Virginia
- What is TRICARE East's payer ID?
- TRICARE East's electronic payer ID is 99727. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to TRICARE East through a clearinghouse.
- How do ASCs verify eligibility for TRICARE East members?
- Eligibility and benefits for TRICARE East members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 99727) or through the payer's provider portal.
- Does TRICARE East require prior authorization for ASC procedures?
- Prior-authorization requirements for TRICARE East are set per plan and per procedure. Confirm whether an authorization is required with TRICARE East directly before the date of service.
- What type of payer is TRICARE East?
- TRICARE East is a government / military health plan operating in Alabama, Arkansas, Connecticut, and 30 more states.
- How does TRICARE East compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where TRICARE East pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is TRICARE East paying my ASC below market?
- Put your own TRICARE East contract next to the peer benchmark in DataLily AI and you'll see the gap by procedure and market, the fastest way to know whether you're leaving money on the table.