Understanding the TRICARE Claims Process

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Whether you submit a claim form depends on the type of TRICARE program option and provider you have.

TRICARE Prime/Prime Remote

  • If you use network providers, providers file claims on your behalf.
  • If you use a non-network provider or require emergent/urgent care outside your region, the provider may file claims on your behalf or require you to pay out-of-pocket and file your own paper claim for reimbursement.

TRICARE Select

When you use network providers, the providers file claims on your behalf, when you use a non-network provider they may file claims on your behalf or require you to pay out-of-pocket and file your own paper claim for reimbursement.

Your ID card serves a proof of eligibility for TRICARE coverage. You are responsible for appropriate copays, cost shares, and deductibles.

Click here to select and download the proper TRICARE Claims Forms.

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TRICARE