SECTION 5: Provider Claims Information - TRICARE Overseas
SECTION 5: Provider Claims Information - TRICARE Overseas
SECTION 5: Provider Claims Information - TRICARE Overseas
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<strong>TRICARE</strong> overseas Program<strong>Provider</strong> ManualBelow are sample EOB statements for TOP Prime and TOP Prime Remote beneficiaries:Here are the <strong>Provider</strong>’s details. Thisis to whom the payment is made.The number in this corner will be a localtoll free number which the <strong>Provider</strong> cancall if they need assistance.®This is the Claim Number, also known as theInternal Control Number (ICN).The Check Number helps <strong>Provider</strong>s match the payments that have been made to the <strong>Claims</strong> they have submitted. If the <strong>Provider</strong> hasbeen paid by check, this number will correspond with the check number on the payment check. If the <strong>Provider</strong> has been paid bybank draft, this number will correspond with the number on the perforated record attached to the bank draft. If the <strong>Provider</strong> has beenpaid by Electronic Fund Transfer (EFT) up to six check numbers will appear in the payment line on the bank statement.®SECTIoN 5<strong>Provider</strong> <strong>Claims</strong> <strong>Information</strong>This is theCheck Number.51