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If you are submitting a claim for DME, you must include a prescription or a Certificate of Medical Necessity (CMN) from your provider*. The CMN must include the length of need (rent to own DME is based on a 15-month rental and CMN needs to show a 15-month length of need) and should be faxed to (608) 221-7542.

This process depends on where you received care. If you're filing a stateside claim, submit your completed medical claim form (DD Form 2642) and supporting information to your TRICARE contractor. In the U.S. and U.S. territories, you must file claims within one year of service or the date of inpatient discharge.

Pharmacy Claims LocationClaims AddressU.S. & U.S. TerritoriesExpress Scripts P.O. Box 52132 Phoenix, AZ 85072Overseas (Active Duty)TRICARE Active Duty Claims P.O. Box 7968 Madison, WI 53707-7968 .tricare-overseas.com3 more rows

If you need to file a claim for care you received overseas, you'll file the claim with the overseas claims processor using the address for the area where you got the care. Or, file your claims online. Watch International SOS' video tutorials to help guide you through the process.

Medical Claims Fill out the TRICARE Claim Form. Download the Patient's Request for Medical Payment (DD Form 2642). ... Include a Copy of the Provider's Bill. Attach a readable copy of the provider's bill to the claim form, making sure it contains the following: ... Submit the Claim. ... Check the Status of Your Claims.

TRICARE DoD/CHAMPUS Claim Form - Patient's Request for Medical Payment (DD Form 2642) Beneficiaries filing their own medical claims must use this form to receive reimbursement from the TOP Claims Processor for TRICARE Covered Services.

For faster claims processing, providers can attach supporting documents when submitting electronic claims through self-service. We encourage providers to use the electronic claims process when submitting additional documentation. The TRICARE East Region payer ID is TREST.