Insurance Card Tricare DD Form 1173 Download Printable PDF or Fill
Tricare Tpl Form. The items below are critical to process your claim. Web download a form you can access commonly used forms below or browse the menu on the left for more information.
Below are helpful links about your tricare eligibility: To the appropriate claims address; Third party liability (tpl) po box 8968. Once you complete your claim form, keep a copy of it and all original invoices and receipts. Tpl form and tpl requested medical record submissions: The federal medical recovery act allows tricare to be reimbursed for its costs of treating you if you are injured in an accident that was caused by someone else. Web completing the claim form. Territories—one year of service ; Web third party liability claim form (dd2527) send third party liability form to: Web refunds related to a tpl payment should be managed through the claim recoupments/refund process.
Do you need an enrollment form? Tpl form and tpl requested medical record submissions: In all other overseas areas—three years of service ; It's important to provide all necessary information on the claim form. Web send the claim form and supporting documents: Web completing the claim form. Enroll in tricare health plan; Once you complete your claim form, keep a copy of it and all original invoices and receipts. Web refunds related to a tpl payment should be managed through the claim recoupments/refund process. Below are helpful links about your tricare eligibility: Web third party liability claim form (dd2527) send third party liability form to:
