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Third-Party Liability and Explanation of Benefits
Third-Party Liability
The Federal Medical Care Recovery Act allows TRICARE to be reimbursed for its costs of treatment if you are injured in an accident that was caused by someone else. The Statement of Personal Injury Third Party Liability (DD Form 2527) form will be sent to you if a claim appears to have third-party liability involvement. Within 35 calendar days you must complete and sign this form and follow the directions for returning it to the appropriate claims processor.
Explanation of Benefits
An EOB is not a bill. It is an itemized statement that shows what action TRICARE has taken on your claims. An EOB is for your information and files.
After reviewing the EOB, you have the right to appeal certain decisions regarding your claims and must do so in writing within 90 days of the date of the EOB notice. (For more information about appeals, see the Information and Assistance section.) You should keep EOBs with your health insurance records for reference.
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