Medical Claims

Follow the steps below to file and check the status of your claims.

• Keep a copy of all paperwork for your records.
• If you need help, call your regional contractor.

Are you overseas? If yes, then you can file your claims online. 

1. Fill out the TRICARE Claim Form

   • Download the Patient's Request for Medical Payment (DD Form 2642).
   • Fill out all 12 blocks of the form completely.
   • Sign the form.

2. Include a Copy of the Provider's Bill 

   Attach a readable copy of the provider's bill to the claim form, making sure it contains the following:

   • Sponsor's Social Security Number (SSN) or Department of Defense Benefits Number (DBN) (eligible former spouses should use their SSN)
   • Provider's name and address (if more than one provider's name is on the bill, circle the name of the person who treated you)
   • Date and place of each service
   • Description of each service or supply furnished
   • Charge for each service
   • Diagnosis (if the diagnosis is not on the bill, be sure to complete block 8a on the form)

3. Submit the Claim

   • Mail your completed claim form to the claims address for your claims processor.
   • If filing a claim overseas, you can submit your claim online. >>Learn More

4. Check the Status of Your Claims

   To keep track of your claims online, you'll need to register on your claim processor's site:

   • East Region
   • West Region
   • Overseas
   • TRICARE For Life (U.S. & U.S. Territories only)

   Once registered, you can also:

   • Look up your deductibles and your out-of-pocket expenses
   • Update your other health insuranceHealth insurance you have in addition to TRICARE, such as Medicare or an employer-sponsored health insurance. TRICARE supplements don’t qualify as "other health insurance." information
   • View your explanations of benefits online