TRICARE Overseas Program Provider Manual

TRICARE overseas Program
Provider Manual
online Claim Submission: Review and Submit
To end the ‘Online Claim’ submission transaction
without submitting the form, click ‘Cancel.’
Note: Data will NOT be saved if you select ‘Cancel’.
To make revisions, click the ‘Edit Claim Information’
button to return to the claim form and update your
patient or claim information.
To submit your claim for processing, click the ‘Submit
Claim’ button.
The ‘Review and Submit’ page gives you one additional chance
to confirm all the data you have entered into the ‘Online Claim’
form (i.e., patient information, diagnosis and OHI data and all
procedural information you’ve entered into the claim form).
Note: When you click ‘Submit Claim’ the data will transmit to the
TOP Claims Processor and you will not be able to make further
changes.
online Claim Submission: Claim Received
If the ‘Online Claim’ submission is successful, you will see the
‘Claim Received’ page.
This page will summarize the currency selection and the total
billed amount submitted on the TOP Claim. It will also provide you
with a claim number.
The claim number can be used to track the status of the TOP
Claim using the ‘Claim Status’ feature.
Note: It may take up to 12 business hours from submission for
the claim to appear using the ‘Claim Status’ feature. Claims can
be searched using the patient’s name, the sponsor’s Social
Security Number of DOD Benefits Number, or by the Date of
Service.
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