TRICARE Overseas Program Provider Manual

TRICARE overseas Program
Provider Manual
Recent Payments: The Recent Payment view provides the following information:
■ CHECK/EFT/ACH Number: Displays the number assigned to the check or electronic payment transaction made via either Electronic
Fund Transfer (EFT) or Automated Clearing House (ACH). Electronic payment transaction numbers are preceded by an asterisk.
■ Approval Date: This is the date the check was issued or the date the electronic payment was made. This appears in MM/DD/YYYY
format.
■ Payment Amount: This displays the full reimbursement amount made in the check or electronic payment transaction.
■ Currency: Displays the code representing the currency in which the payment was made.
■ View Claims: This field provides a link to a detailed view of all your claims that were part of that reimbursement.
When you click on the ‘View Claims’ link, the screen will
automatically update to display the ‘Claim View.’
The ‘Claim View’ provides the following details:
■ EoB: This is a link to an image of your TRICARE Overseas
Program (TOP) Explanation of Benefits (EOB) for the claim on
this line. You will be able to view the EOB in either a summary
payment format (.pdf document) or a detailed individual claim
format (.html).
■ Letters: If there was any correspondence or documentation
attached to this claim transaction, the documentation can be
viewed by clicking on the ‘Letters’ link.
■ Invoice Number: If you added an office invoice or record
number to your claim during the online claims submission
process or when you submitted a claim via postal mail, this
number will be displayed here.
■ Date of Service: This field will display the earliest date of
service on the claim. The date format is MM/DD/YYYY.
■ Claim Number: This is the TOP control number assigned to
your claim for processing and tracking on the Secure Claims
Provider Portal.
■ Patient Name: Displays the full name of the patient on the
claim.
■ Billed Amount: This field displays the sum of all charges that
were submitted on this claim.
■ Currency: This field displays the code representing the
currency in which the claim transaction was processed.
■ Provider Name: Displays the name of the individual provider
or the facility name.
■ Tax ID: Displays the 9-digit tax identification number of the
Provider. For Providers outside the 50 United States and the
U.S. territories, this is an identification number assigned to the
Provider by the TRICARE Overseas Program.
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