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TRI CARE NETWORK PHYSICIAN ASSISTANT
PROVIDER APPLICATION
We expect providers to submit claims electronically. If it is necessary to submit a paper claim,
the only acceptable forms are the approved
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How to fill out tricare non-network physician assistant

How to fill out tricare non-network physician assistant
01
To fill out Tricare non-network physician assistant (PA) claims, follow these steps:
02
Obtain an itemized bill from the PA, which should include the PA's name, contact information, and services provided.
03
Complete a Tricare Claim Form (DD Form 2642). Make sure to provide accurate and detailed information about the PA's services.
04
Attach the itemized bill to the completed claim form.
05
Submit the completed form and itemized bill to the Tricare claims processor.
06
Keep a copy of the claim form and itemized bill for your records.
07
Wait for the Tricare claims processor to review and process your claim.
08
Once the claim is processed, you will receive an Explanation of Benefits (EOB) detailing the amounts covered and any out-of-pocket expenses.
09
If you have any questions or need assistance with the claim, contact the Tricare customer service helpline.
Who needs tricare non-network physician assistant?
01
Tricare non-network physician assistant services may be needed by individuals who are covered by Tricare but receive care from a PA who is not in the Tricare network.
02
This could include patients who choose to see a non-network PA for personal reasons, or when a network PA is not available or accessible.
03
It is important to note that using non-network PAs may result in higher out-of-pocket costs compared to using network PAs within the Tricare network.
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