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> ManualEmergency CareIf the <strong>Provider</strong> is providing Emergency Care, they will not necessarily have anAuthorization Number. In this case, the <strong>Provider</strong> should write the words‘Emergency Room’ in this section.EMERGENCY ROOMPart 5: Diagnosis and <strong>Provider</strong> SignatureIf you are not able to include the diagnosis on the invoice, you canwrite it here. If the diagnosis is on the invoice, leave this field blank.This must be signed and dated by the <strong>Provider</strong>. This does not necessarily haveto be the attending physician, but can be signed by an authorized person.Note: The <strong>Provider</strong> ‘Signature on File’ procedure can be used here.68
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