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TRICARE For Life - Other Health Insurance - TRICARE4u.com
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T have evidence that your other insurance has processed the claim. To ensure we have up to date and accurate information regarding your Other Health Insurance please complete the attached form and mail to the address at the bottom of the form or go to www.TRICARE4u.com to update the information on-line. Privacy Act Statement This statement serves to inform you of the purpose for collecting personal information required by this system of records and how it will be used. AUTHORITY: PURPOSE: ROUT.
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