TRICARE
Keep Your Medical Claims on Track with These Tips (Article 7) As a TRICARE beneficiary you enjoy comprehensive medical benefits, but failing to take important steps at the front end can lead to having your health care claims delayed or denied. Follow these simple steps to ensure prompt payment of your claims: 1. Make sure your DEERS information is correct and current. Call 1-800-538-9552 to update DEERS. 2. Provide complete and accurate information to your provider, including your sponsor’s SSN, your current home address and phone number, and any other pertinent information. 3. TRICARE Prime beneficiaries usually use network providers who file claims on behalf of the beneficiary. If you use a non-network provider or require emergent/urgent care outside the South Region, the provider may require you to pay out of pocket and file your own paper claim for reimbursement. 4. Beneficiaries filing claims on their own behalf should use a DD Form 2642, available online on the TRICARE Web site, as well as at any military treatment facility or TRICARE Service Center. 5. Your completed claim form should contain relevant dates, procedures, costs and diagnoses. Diagnosis codes, which can be obtained from your provider, are required on all claim forms submitted to TRICARE. 6. The DD Form 2642 also must include the patient’s (or parent’s/guardian’s) signature or the claim will be denied. 7. Attach the itemized bill from your physician to the claim form. The bill must contain the provider’s billing letterhead. 8. If you have been hurt in an accident and a third party is responsible, inform TRICARE. Complete a DD Form 2527 and submit it with your DD Form 2642 claim form. 9. Send your claim forms to the correct address to avoid processing delays: TRICARE South Region Claims Department P.O. Box 7031 Camden SC 29020-7031 10. Keep copies of everything you submit so that you have records in the event you need to appeal a claim denial. | 
