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:

From January 1, 2025, to April 30, 2025, the current payer organization (WPS) will continue to process claims with a 2024 Date of Service (DOS). After April 30, 2025, claims with a 2024 DOS will no longer be accepted via 2024 processes.

For claims with 2024 DOS submitted before May 1st, 2025:

TPL form and TPL requested medical record submissions:

TRICARE East Region
Attn: Third Party Liability (TPL)
PO Box 8968 Madison, WI 53707-7539

Fax: (608) 221-7539.

For claims submissions with a 2025 DOS, or after April 30th 2025:

Submit TPL form and TPL requested medical record submissions electronically through provider self-service in the provider access claims center by clicking on the "send documents" link.

You may also mail or fax in TPL form to:

Humana Military Claims
Attn: Third Party Liability (TPL)
PO Box 202152
Florence, SC 29502-2152.
Fax: 877-489-0041.

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

Humana Military
PO Box 740062
Louisville, KY 40201-7462
Fax: (800) 439-7482
Email: HMHSRoutineCorrespondence@HumanaMilitary.com