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Get Tricare Overseas Eft Enrollment Form

If you are processing all of your invoices through a billing agency or a corporate entity please send them form to provide us with their bank details and a list of providers billing through them. PROVIDER INFORMATION Do you use a billing agency Yes / No If Yes please request your Billing Agency to complete the EFT Form for Billing Agency TRICARE ID Number Provider Name City State Country Zip / Postal Code BANK DETAILS Please provide details of th.

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