TRICARE Overseas Program Provider Manual

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TRICARE overseas Program Provider Manual The Secure Message Transmission method available through your secure account on www.tricare-overseas.com allows you to submit messages directly to the TRICARE Overseas Program (TOP) Customer Service department. To access your secure messages, select the ‘Secure Message’ button in the top navigation bar to be taken to your secure message inbox. Your Inbox is a record of inquiries you have made to the TRICARE Overseas Program via the secure messaging service and replies received from our Customer Service department. The Secure Message Inbox tab will display all messages currently in your secure message account. The Inbox view uses the following display format: ■ Check Box: This box is used to mark messages for deletion. Only use this box when you want to delete a message from your Inbox. You can select an individual message or multiple messages for deletion. Deletion of messages is permanent. ■ Date: Date of last action on the email message. Date format is MM/DD/YYYY. By default, messages will display in your Inbox in the order of most recent date to oldest date. ■ Subject: This field displays the message subject. The message subject is set to the inquiry type you select when composing the original message. Subject options include only the following: — New Claim — Claim Status — General — Eligibility — Appeal ■ Status: The Status field will display one of the following two options: — Sent: These are messages you have composed and sent to the TRICARE Overseas Program that have not yet been viewed by our Customer Service department. — Received: The received status appears when your sent message has been reviewed by the Customer Service department. Note that the column heading can be clicked to sort the view of your Inbox by Date, Subject, or Status. The New Messages tab of the mailbox uses the same format as the Message Inbox tab, but will only display messages with a status of Sent, allowing you to see only those messages to which the Customer Service department has not yet replied. Your Inbox will store up to a maximum of 2,500 messages. To avoid potential issues with your secured mail account, be sure to manage your mail to not exceed this limit. 36
TRICARE overseas Program Provider Manual Secure Message Transmission: New Claim The ‘Send New Claim’ button is used when you want to submit a claim (as an attachment) to the TOP Claims Processor using the Secure Message Transmission method. Note: A ‘New Claim’ message can be initiated by selecting the ‘Send New Claim’ button OR by selecting the ‘Compose Message’ button and then choosing ‘New Claim’ as the message subject. When sending a new claim, you will see there is a notice informing you of what information you will need in order to successfully send a ‘New Claim’ via the Secure Message Transmission method. This includes: • Claim information: Such as provider location (e.g., country of origin, billed charges and currency). • Electronic Copy of a Signed Claim Form or Signed Claim Development Worksheet: You will need this to upload during the Secure Message Transmission process. • Patient Information: Including patient name, sponsor’s SSN, and beginning and ending dates of service. SECTIoN 5 Provider Claims Information Once you have the information available, click the ‘Get Started Sending a Secure Online Claim’ button at the bottom of the screen to begin the Secure Message Transmission process. 37
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