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Providers in AR, CO, LA, MS, NM, OK, TX, Indian Health & Veteran Affairs

Request for Tribal Self Funded Claims/Adjustments

Tribal Self Funded Claims

 An initial claim submission for tribal self-funded insurance can be sent electronically. The following information about the tribal self-funded insurance should be reported on the claim in the electronic block equivalents:

Tribal Self Funded Adjustments

Novitas Solutions has established the following process for handling tribal self-funded adjustments:

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Last modified:  11/14/2016