Forms
The form beneficiaries use to submit claims.
What is the DD2642?
The fastest way to submit claims.
What is via the Secure Claims Portal?
The normal processing time for 95% of clean and complete claims.
What is 30 days?
The type of portal account beneficiaries can create directly on the portal site.
What is a tricare-overseas.com account?
A beneficiary needs this to set up direct deposit for claims reimbursement.
What is a US bank account?
The form all overseas providers may use to submit claims.
What is the CDW (Claim Development Worksheet)?
This document should show the price of all services and the date they were given.
What is the invoice?
The amount of time WPS has to complete processing for the remaining 5% of claims.
What is 90 days?
This type of portal account is administered by the DoD.
What is a DS Logon?
The two ways providers can submit claims via the portal.
What are online claim submission and secure attachment claim submission?
The form institutional providers in CONUS & the US Territories use to submit claims.
What is the UB-04?
Beneficiaries with claims over 1,000 USD must submit this with their claim.
What is a receipt or proof-of-payment?
This happens to claims with missing or unclear information.
They are removed.
The system where you can see whether a beneficiary has a portal account and which type it is.
What is FOCUS?
What is 10-15 days?
The form non-institutional providers in CONUS & the US Territories use to submit claims.
What is the CMS-1500?
Beneficiaries and providers in CONUS and the US territories must submit claims within this deadline.
What is one year from the date of service?
This happens to claims for services not covered by TRICARE.
They are denied.
This signifies a DS Logon in FOCUS.
What is a red circle?
The type of date the portal does not show.
What is a future date?
What beneficiaries with OHI must submit with their claims.
What is an EOB?
The unofficial deadline for ADSM claims to be submitted.
What is never? (There is no deadline, but we do not advertise this.)
Claims in the US Territories, Panama, and the Philippines are impacted by this amount, so they don't always pay 100%
What is the maximum allowed amount?
This signifies a tricare-overseas.com account on the Secure Claims Portal.
What is a globe icon?
The dummy date the portal shows for OHI expiration if it does not expire.
What is 12/31/9999?