Medical Claims

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

Tips:

• 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. 

Step 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.

Step 2: Include a copy of the provider’s bill

Attach a readable copy of the provider’s bill to the claim form. Make sure it includes the following:

• Sponsor’s Department of Defense Identification number or DOD Benefits Number. (Eligible former spouses should use their own DOD ID or DBN). 
• 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 isn’t on the bill, be sure to fill out section 8a on the claim form.)

Note: You must send proof of payment with all overseas claims, including claims for care received when traveling overseas.

Step 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.

Step 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 Region 
• TRICARE For Life (U.S. and U.S. territories only)

Once registered, you can also:

• Look up your deductibles and 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.