tricare dd form 2642

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TRICARE Fundamentals Course 14) Claims & Appeals Appendix 1: Claim Form DD 2642 DD 2642: Updated April 2007 Participant Guide July 2008 32 TRICARE Fundamentals Course 14) Claims & Appeals
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WELCOME TO TRICARE TV. BRINGING YOU THE INFORMATION YOU NEED TO GET THE HEALTHCARE YOU DESERVE. I'M AUSTIN. TODAY WE'LL REVIEW HOW TO FILE A CLAIM. CLAIMS ARE REQUESTS FOR PAYMENT FOR SERVICES YOU'VE ALREADY HAD. IN MOST CASES, YOUR PROVIDER WILL FILE CLAIMS FOR YOU AND YOU'LL RECEIVE AN EXPLANATION OF BENEFITS OR EOB IN THE MAIL.THE EOB SHOULD ARRIVE WITHIN 60 DAYS OF A CLAIM BEING FILED. IF YOU DON'T RECEIVE IT, CONTACT YOUR CONTRACTOR OR THEIR CLAIMS PROCESSOR. THE EOB IS A STATEMENT THAT LISTS WHAT ACTION TRICARE TOOK ON YOUR CLAIM AND WHAT COSTS YOU MAY BE RESPONSIBLE FOR. TO LEARN MORE ABOUT EOBs, VISIT WWW.TRICARE.MIL/CLAIMS AND CLICK THE "EOB" LINK IN THE LEFT HAND COLUMN. IF YOU NEED TO FILE THE CLAIM YOURSELF, YOU CAN ACCESS OUR FORMS PAGE ONLINE AT WWW.TRICARE.MIL/CLAIMFORMS. WHETHER YOU OR YOUR PROVIDER FILES THE CLAIM, IT MUST BE FILED BEFORE THE CLAIM FILING DEADLINE. CLAIMS IN THE U.S. AND U.S. TERRRITORIES MUST BE FILED WITHIN ONE YEAR OF THE DATE YOU RECEIVED CARE OR WERE DISCHARGED FROM THE HOSPITAL. OVERSEAS CLAIMS MUST BE FILED WITHIN THREE YEARS OF THE DATE OF SERVICE OR DISCHARGE. NOW, LET'S DISCUSS HOW TO COMPLETE YOUR CLAIM FORM AND WHAT TO ATTACH TO IT. COMPLETE DD FORM 2642 MEDICAL CLAIM FORM AND ATTACH ALL NECESSARY PAPERWORK, INCLUDING YOUR PROVIDER'S CLAIM WITH DIAGNOSIS AND PROCEDURE CODES, AN ITEMIZED LIST OF PHARMACY CHARGES ON THE PHARMACY'S LETTERHEAD, OR AMERICAN DENTAL ASSOCIATION FORM, IF APPLICABLE, AND PROOF OF PAYMENT FOR ANY OUT-OF-POCKET EXPENSES. PROOF OF PAYMENT CAN BE A CANCELLED CHECK, A PROVIDER'S RECEIPT OR AN ATM WITHDRAWAL SLIP IF YOU PAID WITH CASH. IF YOU HAVE OTHER HEALTH INSURANCE OR OHI, YOU HAVE TO FILE YOUR CLAIM WITH YOUR OHI FIRST. REMEMBER, TRICARE PAYS CLAIMS ONLY AFTER ALL OTHER HEALTH INSURANCE PLANS PAY, WITH THE EXCEPTION OF MEDICAID AND SUPPLEMENTAL INSURANCE. FINALLY, YOU CAN GET THE ADDRESS FOR MAILING YOUR CLAIMS FORM AT WWW.TRICARE.MIL/CLAIMS. CLICK THE "CLAIMS FILING ADDRESSES" LINK IN THE LEFT HAND COLUMN. PREPARE YOUR CLAIMS PACKAGE AND MAIL IT OFF, BUT KEEP A COPY FOR YOUR FILES. AS ALWAYS, IF YOU NEED CLAIMS ASSISTANCE, CONTACT YOUR TRICARE HEALTH CARE CONTRACTOR. THEIR NUMBERS ARE FOUND AT WWW.TRICARE.MIL/CALLUS. THAT'S IT FOR THIS EPISODE OF TRICARE TV. UNTIL NEXT TIME, STAY CONNECTED BY JOINING US ON FACEBOOK AND TWITTER AT AND SIGNING UP FOR E-ALERTS.