- Allowable charge complaints
- Charges denied as “Included in a paid service”
- Keying errors/corrected bills
- Eligibility denials/Patient not in DEERS
- Cost-share and deductible inquiries/disputes
- Claims denied because the provider is not a TRICARE-authorized provider
- ClaimCheck® denials (except assistant surgeons)
- OHI denials/issues
- Prescription drug coverage
- Third-party liability denials/issues
- Claims denied or payments reduced due to no authorization
- POS when reason for dispute is other than emergency care
- Claims denied because they were filed late
- Charges denied as a duplicate charge
- Claims denied as “Requested information was not received”
- Coding issues
- Claims denied because NAS is not in DEERS
|
Requests must be postmarked or received within 90 calendar days of the date of the TRICARE EOB. |
TRICARE Correspondence:
TRICARE South Region
Customer Service Department
P.O. Box 7032
Camden, SC 29020-7032 |
