TRICARE Claims Forms

TRICARE Claim forms can be downloaded from the TRICARE website (links below). Complete the appropriate form and send it to the appropriate claims processor. A claim form should be submitted for each family member even in cases where families have visited the same provider on the same day.

When submitting these forms, all pages of the form must be submitted for the claim to be paid.

Note: These forms are in PDF format and must be viewed/printed with the Adobe Acrobat Reader. Full instructions for downloading and installing the reader are available at the download site. Please download the reader if necessary.

For general information about TRICARE, call one of the many toll-free TRICARE information lines found at the TRICARE Contact Us web page.

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