TRICARE Overseas Program Provider Manual

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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. 82
TRICARE overseas Program Provider Manual ■ Paid by Government: This field displays the amount of payment the TRICARE benefit program covers and reimbursed or paid on the claim. ■ Process Date: This field displays the date the claim processing was finalized in our system (i.e., by the TOP Claims Processor). You can also click the ‘Plus’ (+) symbol at the start of each line to expand additional details about the claim. Information about these additional claim details is available in the ‘Claim Status’ demonstration, also available on the Secure Provider Claims Portal. Clicking the ‘Back’ button will return you to the ‘Recent Payments’ dashboard summary view. SECTIoN 6 The Provider Portal 83
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TRICARE Overseas Program Provider Manual

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