SECTION 5: Provider Claims Information - TRICARE Overseas

TRICARE overseas ProgramProvider ManualSecure Message Transmission: Patient InformationOn the ‘Patient Information’ screen, you will be asked to provide the following patientinformation:• Sponsor Social Security Number (SSN): Select the patient’s benefit type from the dropdown menu and then enter the corresponding benefit number in the text field to the right.• Patient First Name and Patient Last Name: Enter the patient’s first and last names in thecorresponding fields.• Beginning Date of Service: Enter the earliest date of health care service as it is listed forthe procedures being submitted on this claim. The date must be entered in MM/DD/YYYYformat or you can click the calendar icon to select the date.• Ending Date of Service: Enter the last date of health care service as it is listed for theprocedures being submitted on this claim. This date must be entered in the MM/DD/YYYYformat or you can click the calendar icon to select the date.Click ‘Next.’SECTIoN 5Provider Claims Information39