A claim is considered “new” if it has not been submitted to TRICARE previously. New claims may have additional information attached or included within the claim data such as:
Submit XpressClaims online and claims-related document submission system through the provider access claims center in provider self-service.
EDI claims payer ID is 99727.
Fax: (877) 489-0007
TRICARE East Region Claims
Attn: New Claims
PO Box 202146
Florence, SC 29502-2146
A corrected claim is used to update a previously processed claim with new or additional information. A corrected claim is beneficiary and claim specific and should only be submitted if the original claim information was incomplete or inaccurate. A corrected claim does not constitute an appeal.
Corrected/Revised claim submission instructions
EDI Payer ID: 99727 (Preferred method)
Fax: (877) 489-0042
TRICARE East Region Claims
Attn: Corrected Claims
PO BOX 202146
Florence, S.C. 29502-2146
Payer Recoupment Request: A claim recoupment is a request by the provider or the health insurance payer, to recover funds involved in an overpayment. A payer may identify an overpayment due to unknown other health insurance. If the provider sends claims electronically and receives payment electronically, the provider can initiate an electronic recoupment that will offset a future payment by the payer and eliminate the need for the provider to send a refund check which requires manual intervention. If the provider is not transacting electronically, the provider will need to send a refund check.
Provider Recoupment Request: A claim payment recoupment may also be requested by a provider if the provider identifies an error in payment. With notification, the payer will recover the overpayment on a future payment to the provider.
For claim recoupment/refund submissions, please complete the proactive recoupment form and mail to:
General Correspondence
PO Box 202147
Florence, SC 29502-2147
To check the status of a claim, please log in or create an account:
Provider log in
Create a self-service account
Provider self-service overview
