Filing TRICARE Standard Claims
Simple Tips to Ensure Smooth Processing
Paperwork. It’s one of those unavoidable aspects of life. As a TRICARE Standard beneficiary, you may be required to file your own claims. (TRICARE network providers are required to file claims for you; non-network providers are not required to do so, unless they choose to participate with TRICARE on your claim.)
Since no one wants the hassle of having to deal with filing claims more than once, here are some simple tips to follow to ensure your TRICARE claims are filed properly, the first time, in a timely, error-free manner:
- Fill out DD Form 2642 Patient’s Request for Medical Payment. Be sure to complete all 12 blocks correctly. You can also visit a TRICARE Service Center or a military treatment facility to pick up a copy.
- Sign the form (very important).
- Submit all your claims—even claims for services received while traveling in a different region—to the claim processor in your home region.
- File claims within one year of the date of service or within one year of the date of an inpatient discharge.
- Attach a legible copy of the provider’s bill to the claim form, making sure the following information appears on the provider’s bill:
- Sponsor’s Social Security number (eligible former spouses should use their own Social Security numbers)
- Provider’s name and address (if more than one provider’s name is listed on the bill, circle the name of the provider who treated you)
- Date and place of each service
- Description of each service or supply furnished
- Charge for each service
- Diagnosis (if a diagnosis does not appear on the bill, fill in diagnosis block 8a on DD Form 2642)
- Keep copies of all completed forms and your provider’s bills for your records.
- Call Humana Military if you have claims questions or visit the TRICARE Web site for additional claims processing information.
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