TRICARE Overseas Program Provider Manual

TRICARE overseas Program
Provider Manual
Part 1: Provider’s Details
Please enter the Patient’s account number.
This is generated by the Provider and
should not be longer than 18 digits long.
Please enter the
Provider’s name
and full physical
address.
Please enter the
Provider’s full billing
address if different
to the physical
address.
The ‘Federal Tax
Number’ is the
Provider’s TRICARE ID
Number (or TEPRV).
Please enter this here.
Part 2: Patient’s Details and Address
Enter the patient’s name, using the format Last
Name, First Name, Middle Initial and the patient’s
full physical address including post code.
Please enter the
patient’s DOB
using the format
MM DD YY and
write M or F to
indicate the
patient’s gender.
Enter the
sponsor’s name
and full address
if different than
the patient’s.
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