Please share with your billing department or billing agency
We’re reminding providers about coordinating benefits and billing practices for your patients identifying as American Indian or Alaska Native (American Indians) who are enrolled in:
Some providers are incorrectly billing a tribal health Purchased/Referred Care Program before billing the primary insurance for the member. This causes delays in payments to you and stress for the member.
If a member is receiving medical or dental services from you and mention that they have “tribal insurance” please:
Indian Health Service and tribal health programs, including Wampanoag Health Service, help tribal members with their health needs, but are not health insurance plans. Federal rules require the Indian Health Service to be the payer of last resort for services provided to eligible persons.
Thank you for your help.