TRICARE Overseas Program Provider Manual

More documents

Recommendations

Info

TRICARE overseas Program Provider Manual online Claim Submission: Select a Location The www.tricare-overseas.com Secure Claims Portal has field descriptions and built-in prompts that will assist you while entering the claim electronically. If you choose to submit claims using this website, you will see the following page after you log-in and click ‘Online Claim.’ Your screen will update to display the ‘Online Claim’ submission page. The Select Location section of the page displays a ‘Submit Claim’ tab which lists all current locations for which you have an agreement for electronic claim submission. Click the radio button in the ‘Submit Online’ column that corresponds to the location where the medical services were rendered. Note: If you have a location on file with the TOP Claims Processor but do not have an electronic claims submission agreement for that location, you can see that location by clicking on the ‘Need Web Claim Submission Agreement’ tab. On that tab you can also request electronic claims submission by clicking on the ‘Sign Up’ link for those locations. If the location where the services were rendered does not appear on either the ‘Submit Online’ tab or the ‘Need Web Claim Submission Agreement’ tab, you can add the location by clicking the ‘Request a New Location’ link. 42
TRICARE overseas Program Provider Manual online Claim Submission: Select a Patient Scroll down the page to the ‘Select Patient’ section. In this section, you can search for patients by using their TRICARE Sponsor Social Security Number (SSN) or DEERS Family ID as indicated on the patient’s Military ID card, which the patient should always carry with them. This search function will return a list of beneficiaries, their date of birth, and gender indicator based on the ID number. You can select the correct patient for your claim by clicking the ‘Radio’ button in front of their name. You have the alternative of selecting from a list of recent patients from claims you have submitted to the TOP Claims Processor. Click the ‘Choose from Recent Patients’ tab, select the letter that corresponds with the first letter of the patient's last name, and view a list of your recent TRICARE patients on screen. Note: If your search does not return any results, you will not be able to use the ‘Online Claim’ submission feature through www.tricare-overseas.com unless your patient is under 1 year of age. If your patient is a TRICARE beneficiary under 1 year of age and their name does not come up in a search result, select the ‘I am unable to find an eligible child under 1 year of age’ button and complete the First Name, Last Name and Date of Birth fields for this patient. Select the patient from this list by clicking the ‘Radio’ button in front of the patient's name. After selecting the patient for your claim, click ‘Next’. SECTIoN 5 Provider Claims Information 43
Page 1 and 2: R TRICARE Overseas Program Provider
Page 3 and 4: TRICARE overseas Program Provider M
Page 41: TRICARE overseas Program Provider M
Page 93 and 94:
TRICARE overseas Program Provider M
Page 95 and 96:
Page 97 and 98:
Page 99 and 100:
Page 101 and 102:
Page 103 and 104:
Page 105 and 106:
Page 107 and 108:
Page 109 and 110:
Page 111 and 112:
show all

TRICARE Overseas Program Provider Manual

Create successful ePaper yourself

Delete template?

Save as template?