Information about health information claims form
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Beneficiary Home > Medical > Claims
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Claims Your claims filing information is different depending on who you are, where you live and which health plan you are using. So we can give you the most accurate information, please tell us a little about yourself.
In most cases, your provider will file your medical claims for you, and you'll receive an explanation of benefits detailing what was paid. There may be times, however, when you'll need to pay for care and then file the claim to receive payment. You will be reimbursed for TRICARE-covered services at the TRICARE allowable amount, less any copayments, cost shares or deductibles. There are special rules for filing claims if you're involved in an accident with possible third-party liability. The following sections tell you more about the claims process and what to do in these situations.
Claims Filing Addresses By entering your profile, we can give you tailored information including your specific claim filing address. For a list of all claims addresses, see below: TRICARE North Region
Health Net Federal Services, Inc. c/o PGBA, LLC/TRICARE P.O. Box 870140 Surfside Beach, SC 29587-9740 www.mytricare.com TRICARE South Region
TRICARE South Region Claims Department P.O. Box 7031 Camden, SC 29020-7031 www.mytricare.com TRICARE West Region
West Region Claims P.O. Box 77028 Madison, WI 53707-1028 www.triwest.com Overseas Active Duty Claims
Wisconsin Physicians Service TRICARE Active Duty Claims P.O. Box 7968 Madison, WI 53707-7968 1-608-301-2311 All Other Overseas Claims
TRICARE Eurasia-Africa Area Wisconsin Physicians Service P.O. Box 8976 Madison, WI 53707-8976 1-608-301-2310 www.tricare4u.com TRICARE Pacific Area Wisconsin Physicians Service P.O. Box 7985 Madison, WI 53707-7985 1-608-301-2311 www.tricare4u.com
TRICARE Latin America & Canada Area Wisconsin Physicians Service P.O. Box 7985 Madison, WI 53707-7985 1-608-301-2311 www.tricare4u.com Last Modified: January 15, 2010
Enter your profile to determine where to send your claims. Downloads
--------------------------------------------------------------------- TRICARE Claim Form (DD Form 2642)
Third-Party Liability Form Guiding the Claims Process Flyer
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being he them yours an health information claims formhttp://www.tricare.mil is the official Web site of the TRICARE Management Activity, a component of the Military Health System Skyline 5, Suite 810, 5111 Leesburg Pike, Falls Church, VA 22041-3206
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