Philippines Itemized OHI Claim Checklist
Download the Philippines Itemized OHI Claim Checklist
- Use pages 1 and 2 when your other health insuranceClick to closeHealth 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." 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:
- 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.|
|Commercial||+81-98-970-9155 (country code: 011)|
Last Updated 6/21/2016