Providers may file claims by submitting standard claim forms and TRICARE/CHAMPVA EOBs to the our claims department.
Please instruct the provider to visit our website at www.selmanco.com
The provider should click on "Provider"
This page will give the provider the instructions to file a claim, our Payor ID, our claims fax number and our claims address.
Submit a Claim
Please include a copy of the primary EOB with your claim form.
Selman & Company
Attention Claims
P.O. Box 21611
Eagan, MN 55121
OR SEND CLAIMS VIA FAX. Many insureds can use efax from their mobile devices, cell, tablets or even laptops. The app will be required, it is the insureds choice which app they use.
By Fax: 1-800-310-5514
Payer IDs for Claims
If you have submitted health care claims to SelmanCo for services rendered for your TRICARE or CHAMPVA Supplement Plan insureds, the information below can help you save time. Please note:
| Real Time Eligibility Benefit Inquiry and Response 270/271 Transactions | Real Time Claim Status Inquiry and Response 276/277 Transactions | Claim Submission 835/837 Transactions | EFT | Remit Images | |
| Dates of Service Prior to January 1, 2019 | Payer ID SLMTC | Payer ID SLMTC | Payer ID TRSEL | Payer ID TRSEL | Payer ID TRSEL |
| Dates of Service on or After January 1, 2019 | Payer ID 52214 | Payer ID 52214 | Payer ID 52214 | Payer ID 52214 | Payer ID 52214 |