Medical Claims
Follow the steps below to file and check the status of your claims.
Tips:
- Keep a copy of all paperwork for your records.
- If you need help, call your regional contractor.
Are you overseas? If yes, then you can file your claims online.
Step 1: Fill out the TRICARE claim form.
- Download the Patient’s Request for Medical Payment (DD Form 2642).
- Fill out all 12 blocks of the form completely.
- Sign the form.
Step 2: Include a copy of the provider’s bill.
Attach a readable copy of the provider’s bill to the claim form. Make sure it includes the following:
- Sponsor’s Social Security number or Department of Defense Benefits Number. (Eligible former spouses should use their own Social Security number.)
- Provider’s name and address. (If more than one provider’s name is on the bill, circle the name of the person who treated you.)
- Date and place of each service
- Description of each service or supply furnished
- Charge for each service
- Diagnosis. (If the diagnosis isn’t on the bill, be sure to fill out section 8a on the claim form.)
Step 3: Submit the claim.
- Mail your completed claim form to the claims address for your claims processor.
- If filing a claim overseas, you can submit your claim online.
Step 4: Check the status of your claims.
To keep track of your claims online, you’ll need to register on your claim processor’s site:
- East Region
- West Region (For care received through Dec. 31, 2024)
- West Region (For care received starting Jan. 1, 2025)
- Overseas
- TRICARE For Life (U.S. and U.S. territories only)
Once registered, you can also:
- Look up your deductibles and out-of-pocket expenses.
- Update your other health insuranceHealth insurance you have in addition to TRICARE, such as Medicare or an employer-sponsored health insurance. TRICARE supplements don’t qualify as "other health insurance." information.
- View your explanations of benefits online.
Last Updated 12/11/2024