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