claims-program-guidelines_1650x360

Processing claims for out-of-region care

When providing health care services to a TRICARE beneficiary who is enrolled in a different region, the beneficiary will pay the applicable cost-share. Providers must submit reports and claims information to the region based on the TRICARE beneficiary’s enrollment address, not the region in which he or she received care.

For claims issue or questions regarding a TRICARE patient who normally receives care in another TRICARE region, call the appropriate region-specific number below for assistance.

North Region 1-877-TRICARE (1-877-874-2273)

West Region 1-877-988-WEST (1-877-988-9378)