TRICARE Overseas Program Provider Manual

TRICARE overseas Program
Provider Manual
Claim Status
Using the Provider Portal: Claim Status: Basic Search
The ‘Basic Search’ allows you to
search for your claim information
by your registered locations,
including an option for all
locations.
The default selection is 'All
Locations' but you can select a
specific location from the drop
down menu.
If the location you want to look up
is not on the drop down menu,
you can register this new location
by selecting the 'Request a New
Location' link.
The ‘Claim Status’ function allows you to search for claim
information and data for claims you have submitted to the TOP
Claims Customer Service Department.
Note: The ‘Claim Status’ function has a 500-claim limit for search
returns and can only return claim data for the last 18 months
(based on when the claim is processed). Please select the
appropriate criteria to filter your search to improve search return
and portal performance.
Next, select the cross-reference search type you would like to
perform.
The choices here include:
■ Patient Information: Selecting Patient Information allows you
to input the data to find claims you submitted for a specific
patient. Complete the following fields:
— Sponsor Social Security Number (SSN): Enter the patient’s
benefit eligibility number.
— Patient First Name: Provide the patient’s first name.
— Date of Birth: Enter the patient’s date of birth. The date
format is MM/DD/YYYY.
— Service Start/End Date: The system will default the service
date fields to the last 30 days. If necessary, you can
change this by typing new dates directly into these fields
or by using the calendar icons to select new dates.
— Claim Number: Selecting the Claim Number allows you to
enter the full 14-digit number assigned to your claim and
search for its status. Claim numbers are assigned
immediately to your claims when you submit them using
the Online Claims submission method on www.tricareoverseas.com
■ Check Number: Selecting the Check Number allows you to
enter the full 11-character check number and search for
claims processed under that check. Check numbers will
appear on your Electronic Funds Transfer (EFT) or Automated
Clearing House (ACH) credit advice, your weekly claim
summary reports, and your dashboard. You can also find the
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