Accessing TRICARE DD forms:

Due to security settings, you may not be able to view certain DD forms in your web browser. If you encounter an issue viewing a form in your web-browser, right-click and select "Save as" to save to your computer. You can then open the form using your system's default program for viewing PDFs. You can also try accessing the form directly from the official DoD forms site.

Claims Billing and enrollment HIPAA Miscellaneous
New claim submissions

Attn: New Claim Submissions

PO Box 7981

Madison, WI 53707-7981

Fax: 1-608-327-8522

Third Party Liability (TPL) submissions

Attn: Third Party Liability

PO Box 8968

Madison, WI 53708-8968

Fax: 1-608-221-7539

General release of information authorization requests

General release of information authorizations should be completed online through beneficiary self-service. Sensitive diagnosis and revocation options are not available in self-service at this time.

Log in or register to submit a general release of information request.