When filing paper claims, make sure you complete the CMS-1500 or UB-04 accurately and fully. Submit paper claims to:

TRICARE South Region
Claims Department
P.O. Box 7031
Camden, SC 29020-7031

• Use the most appropriate CPT code when billing TRICARE—do not unbundle charges into separate CPT codes when a single code is more appropriate.
• If the CPT code you are billing does not match the services authorized, the claim will be denied.
• Institutional providers billing with certain revenue codes must submit Level II HCPCS codes for service and supply descriptions.
• The provider’s signature is required on all claims, including the UB-04 institutional claim form. In lieu of the provider’s actual signature, a facsimile signature or representative’s signature will be accepted if TRICARE has the proper authorization forms on file. Claims submitted without the proper signature will be returned or denied. Because the provider’s signature block FL was eliminated from the UB-04, the National Uniform Billing Committee has designated FL 80 (Remarks) as the location for the non-network provider signature if signature-on-file requirements do not apply to the claim.

The TRICARE South Region has implemented a signature-on-file capability for non-network providers. Contact PGBA for details. To ensure TRICARE has the appropriate signature authorization forms on file, refer to the TRICARE Operations Manual, Chapter 8, Section 4.