Using XPressClaim

XPressClaim is a secure, full-service online claims submission tool. Please refer to XPressClaim guidance below for more information on getting started. This service is free to TRICARE providers and should be used when submitting attachments such as Other Health Insurance (OHI) details or Certificate of Medical Necessity (CMN). XPressClaim works best for providers who need to submit 150 claims or less per month. It is a one-claim-at-a-time product and does not batch submissions.

Key Benefits of XPressClaim:

• There are no transaction fees to submit an XPressClaim. You don't have to pay an EDI company or its claims clearinghouse to handle your transactions.
• There's no software or hardware to buy (other than using your existing office personal computer(s) and internet connection service).
• You get immediate results. XPressClaim often completes without additional edits and with a clear explanation of the payment allowable amounts.
• You can print a Patient Summary Receipt on the spot!
• You can then quickly enter the results into your accounts receivable practice management system, which helps you settle your accounts faster.
• Allows for providers to submit attachments with their claims.
• The bottom line is your TRICARE claims are often processed faster—so you get your money faster.

Getting Started:

• If you haven’t registered as a provider on Availity, you’ll need to do so to submit claims electronically through XPressClaim.
• Once you have a web account, just sign in and select the TRICARE West – TriWest payer space to navigate to the XPressClaim Claim Submission.
• You’ll be able to sign up and start submitting claims right away.