Get Instructions How To Submit A Tricare Claim

Submitting a TRICARE claim online can be a straightforward process if you follow the appropriate steps. This guide is designed to assist you in completing the necessary form accurately and efficiently, ensuring you have all the required information at hand.

Follow the steps to complete your TRICARE claim submission

1. Press the ‘Get Form’ button to access the TRICARE claim form, then open it in your preferred document editor.
2. Complete all required fields at the top of the form. This includes entering the name of the member, their sex, certificate number, and date of birth.
3. Indicate the marital status of the member by selecting the appropriate options, such as single, married, widowed, or divorced.
4. Fill in the complete address, including street, city, state, and zip code. This information is essential for processing the claim.
5. Enter the name of the patient along with their date of birth and relationship to the member (self, spouse, son, daughter).
6. Describe the nature of the accident or illness that prompted the claim in the designated section.
7. Answer whether benefits for this condition have been claimed previously and, if yes, provide the date of the previous claim.
8. If any physicians were contacted regarding this condition, enter their names and addresses as instructed on the form.
9. Authorize payment of eligible benefits by entering the name of the provider of care (hospital, doctor, etc.). Ensure you sign and date the form in the designated areas.
10. Once all sections are complete, review the form for accuracy. You can then save your changes, download, print, or share the completed form.

Begin your TRICARE claim submission process online today using the guide provided.