TRICARE Overseas Program Provider Manual

TRICARE overseas Program
Provider Manual
SECTIoN 2:
TRICARE overseas Program Benefits
Identifying TRICARE Patients and
Validating Coverage
Sample ToP Prime and ToP Prime
Remote Enrollment Cards
SECTIoN 2
TRICARE overseas Program
Benefits
TRICARE is available to a range of members serving under the
U.S. Department of Defense.
It is important to remember that not all U.S. patients are TRICARE
patients.
Sample ToP Prime Enrollment Card
■ Front of Card
Because there are so many types of U.S. military patients who
may seek care from you, it is critical to properly identify both the
patient and their TRICARE status.
TRICARE patients who seek care from you will have some
way to prove that they are TRICARE eligible – this can be a U.S.
Military Identification Card, a written confirmation from the
Military Treatment Facility (MTF), or an Authorization Form from
International SOS.
■ Generally, children under 10 will not have their own Military
Identification Card. The parent’s valid identification card is
considered sufficient.
■ TRICARE Prime Enrollment Cards are only valid when
presented with a valid Military ID Card or Common Access
Card (CAC). Please ensure that the names on both cards
match, that the expiration date on the Military ID Card or CAC
has not lapsed, and that the photo on this card accurately
represents the patient.
■ Back of Card
■ If you have a concern about an individual patient, you may
contact your TOP Regional Call Center for assistance 24/7.
■ Providers are authorized and encouraged to photocopy both
sides of a patient’s Military ID Card or TRICARE Enrollment
Card.
■ Once the Provider is registered to the online Provider Portal
available at www.tricare-overseas.com they will also be able
to check a patient’s eligibility through the portal.
Sample TOP Prime and TOP Prime Remote Enrollment Cards are
included here for your reference.
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