Filing Tips

Many times claims are delayed or denied because the claim form wasn't filled out correctly or all the information wasn't provided.  Here are some tips to help you file your claims correctly:

Keep DEERS Updated  Incorrect information in DEERS could cause your TRICARE claim to be denied. Update DEERS now! 
Use the Right Form File medical claims on a Patient's Request for Medical Payment (DD Form 2642).
Fill in all 12 Blocks 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.
Use the Right Diagnosis Code Your provider should give you a diagnosis code for all services he or she provided. Include that code with the description in Box 8a.
Sign the Claim Form  Claims submitted without a signature will be denied payment.
Notify TRICARE if there's a Third Party Involved 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.
File Claims with Other Health Insurance First TRICARE pays second to most other health insurance (OHI) programs. When you receive payment from your OHI, you can then file a claim with TRICARE. Include a copy of your explanation of benefits from your OHI with your TRICARE claim.
Make Copies  Keep copies of everything you submit to the claims processor.
Use the Right Claims Address Send your claim forms to the correct address to avoid delays. View claims addresses.
File Claims on Time Claims 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.
Submit Each Claim Separately Filing multiple claims together could cause confusion.

 

Last Updated 6/16/2014

contact Your Contacts
Send Claims To:

Health Net Federal Services
c/o PGBA, LLC/TRICARE
P.O. Box 870140
Surfside Beach, SC 29587-9740

Check Claim Status


Send Claims To:

TRICARE South Region Claims Department
P.O. Box 7031
Camden, SC 29021-7031

Check Claim Status


Send Claims To:
TRICARE West Region
Claims Department
P.O. Box 7064
Camden, SC  29021-7064

Check Claim Status


Filing TRICARE For Life Claims

(In the U.S. & U.S. Territories)

WPS TRICARE For Life
P.O. Box 7890
Madison, WI 53707-7890

Check Claim Status


Overseas Claims Assistance

International SOS
1-877-451-8659

Check Claims Status


View More Contacts