View claims addresses.Ĭlaims must be filed within one year of the date of service or within one year of the date of an inpatient discharge or three years if overseas, but you are encouraged to send your claim form to TRICARE as soon as possible after you receive care.įiling multiple claims together could cause confusion. Send your claim forms to the correct address to avoid delays. Keep copies of everything you submit to the claims processor. Include a copy of your explanation of benefits from your OHI with your TRICARE claim. Claims must be received within 12 months from the date of service (DOS) or six months from the Medicare pay date whichever is longer. When you receive payment from your OHI, you can then file a claim with TRICARE. TRICARE supplements don’t qualify as "other health insurance." (OHI) programs. TRICARE pays second to most other health insurance Health insurance you have in addition to TRICARE, such as Medicare or an employer-sponsored health insurance. If you were hurt in an accident and someone else may bear responsibility, you have to let TRICARE know by submitting a Statement of Personal Injury-Possible Third Party Liability (DD Form 2527) along with your medical claim form. Notify TRICARE if there's a Third Party Involved Include that code with the description in Box 8a.Ĭlaims submitted without a signature will be denied payment. Your provider should give you a diagnosis code for all services he or she provided. For quick reference you can check the chart below for income limits. Include the sponsor's Social Security Number or Department of Defense Benefits Number, your home address and phone number, as well as any other pertinent information needed. A Cape Fear HealthNet Enrollment and Eligibility Specialist can help you find the. Update DEERS now!įile medical claims on a Patient's Request for Medical Payment (DD Form 2642). Incorrect information in DEERS could cause your TRICARE claim to be denied. Here are some tips to help you file your claims correctly: Keep DEERS Updated
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