Bread Crumbs

Philippines Itemized OHI Claim Checklist

Download the Philippines Itemized OHI Claim Checklist

  • Use pages 1 and 2 when your other health insurance plan doesn't, can't, or won't do a proper explanation of benefits showing what was paid and what was not paid.
  • Page 1 serves as an itemized bill or receipt of services received/paid for. Use this when a provider can't or won't produce an itemized bill, receipt or statement of services rendered. It must be complete and signed by the provider.

If you have questions, contact the TAO-Pacific Regional Call Center: 

  • Monday-Friday
  • 7:30 a.m. to 4:30 p.m.
  • Japan Standard Time
Address TRICARE Area Office-Pacific NH Okinawa
PSC 482, Box 2749
FPO AP 96362
Phone 1-888-777-8343 option 4 if calling from the U.S.
DSN 315-643-2036
Commercial +81-98-970-9155 (country code: 011)
Fax 315-643-2037

Last Updated 10/27/2015

Topics Icon Related Topics