02.04.2015 Views

TRICARE Overseas Program Provider Manual

TRICARE Overseas Program Provider Manual

TRICARE Overseas Program Provider Manual

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

<strong>TRICARE</strong> overseas <strong>Program</strong><br />

<strong>Provider</strong> <strong>Manual</strong><br />

SECTIoN 7<br />

<strong>TRICARE</strong> overseas <strong>Program</strong><br />

<strong>Provider</strong> Forms<br />

Sample: UB-04 Claim Form (continued)<br />

103

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!