TRICARE ONLINE CLAIM SUBMISSION HOW TO

You just need to log in to the beneficiary secure claims portal. The simplest way to file overseas claims is to do it online. You must file overseas claims within three years of service or the date of inpatient discharge. territories, you must file claims within one year of service or the date of inpatient discharge.įor overseas claims, submit the claim form and proof of payment to the TOP claims processor. If you’re filing a stateside claim, submit your completed medical claim form ( DD Form 2642) and supporting information to your TRICARE contractor. This process depends on where you received care. You don’t need to file claims when using the US Family Health Plan.

As stated in the TRICARE Choices in the United States Handbook, “A provider must be TRICARE-authorized for TRICARE to pay any part of your claim.” If you have both Medicare and TRICARE, your claim will go to a Medicare contractor. If you’re unsure about how your claims will be filed, check with your provider to find out if you need to submit a claim after receiving care.

You use TRICARE For Life (TFL) and have other health insurance (OHI) in addition to Medicare.

(There are exceptions overseas depending on your health plan and the type of provider you see.) territories (American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the U.S.

You travel and get care outside of the U.S., U.S.

You have TRICARE Overseas Program (TOP) Select.

You get care from a non-network provider.

As a rule of thumb, you should expect to file your own claims if: What determines whether or not you need to submit one is your TRICARE plan and provider.

TRICARE ONLINE CLAIM SUBMISSION HOW TO

It’s important to know when you need to file a claim and how to do so.Ī claim is a request for payment from TRICARE that goes to your TRICARE contractor after you get a covered health care service. But in some cases, like when you see a non-network provider, you may have to pay for health care services up front and file your own claim to get reimbursed. When you see a TRICARE network provider, the provider will submit the claim on your behalf. Are you getting ready for a doctor’s visit? One of the best ways you can prepare is by understanding your health care costs and if you need to pay anything out of pocket.

Tricare online claim submission