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TRICARE How-To: Filing Claims and Reimbursements

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Tony

Tony

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Have you ever had to get care while traveling? Or maybe you’ve had to visit a non-network TRICARE-authorized provider who doesn’t “participate.” In these situations—and some others—you might need to file a claim with TRICARE to get reimbursed. 
A medical claim is a paper or electronic form that you submit to TRICARE for reimbursement.

“All TRICARE network providers have agreed to participate on all claims. That means their office will always file claims for you, and TRICARE will pay them directly,” said Jody Donehoo, chief of the TRICARE Customer Support Division at the Defense Health Agency. “But non‑network TRICARE providers can choose not to participate on a case-by-case basis. Just be sure your non‑network provider is TRICARE-authorized—ask them!”

If you’re uncertain about the claims and reimbursements process, here are some common questions and helpful tips.

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