Third Party Liability (TPL)

TPL definition:

The Federal Medical Recovery Act allows TRICARE to be reimbursed for its costs of treating you if you are injured in an accident that was caused by someone else.

TPL process - beneficiary:

Beneficiaries will receive the Statement of Personal Injury-Possible Third Party Liability (DD Form 2527) if a claim is received that appears to have TPL involvement.

The beneficiary must complete and sign this form within 35 calendar days and return the form to the address below. If the beneficiary is unable to complete form DD2527, the provider may submit a cover letter identifying the inability to complete and provide medical records.

TPL process - medical records:

Medical records submitted on behalf of a beneficiary and medical records requested related to a claim in process should be routed to the Madison, WI address or fax number below.

Please refer to Claim support documentation for correct routing of all other medical record requests.

TPL process - provider:

Refunds related to a TPL payment should be managed through the claim recoupments/refund process.

TPL form and TPL requested medical record submissions:

TRICARE East Region
Attn: Third Party Liability (TPL)
PO Box 8968
Madison, WI 53707-8968

Fax: (608) 221-7539

Attorneys or insurance agencies:

Subrogation/Lien cases involving TPL for TRICARE East beneficiaries should be submitted through the contact methods below: