Medical Claims

In most cases your provider will file the claim. You’ll get an explanation of benefits showing what was paid. But sometimes, you’ll need to file your own claims (for example, if you get care from a nonparticipating provider or while traveling).

Send the Patient’s Request for Medical Payment form (DD Form 2642) and supporting documents:

• To the appropriate claims address
• Within the specified deadlines:
  • U.S. and U.S. territories—One year of service
  • In all other overseas areas—Three years of service

Third-Party Liability

Use the Statement of Personal Injury-Possible Third Party Liability form (DD Form 2527) when you submit claims for an injury or illness caused by a third party:

• Diagnosis codes 800-999
• Professional services exceeding $500
• All inpatient services

Learn more about third-party liability claims.