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TRICARE Overseas Program Provider Manual

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<strong>TRICARE</strong> overseas <strong>Program</strong><br />

<strong>Provider</strong> <strong>Manual</strong><br />

Emergency Care<br />

If the <strong>Provider</strong> is providing Emergency Care, they will not necessarily have an<br />

Authorization Number. In this case, the <strong>Provider</strong> should write the words<br />

‘Emergency Room’ in this section.<br />

EMERGENCY ROOM<br />

Part 5: Diagnosis and <strong>Provider</strong> Signature<br />

If you are not able to include the diagnosis on the invoice, you can<br />

write it here. If the diagnosis is on the invoice, leave this field blank.<br />

This must be signed and dated by the <strong>Provider</strong>. This does not necessarily have<br />

to be the attending physician, but can be signed by an authorized person.<br />

Note: The <strong>Provider</strong> ‘Signature on File’ procedure can be used here.<br />

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