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Claims

How do I check claims status?

You can check the status of your claim online

Why was my claim denied?

The Explanation of Benefits (EOB) will provide details as to why your claim was denied. You can view your EOB online (log in required).

How does TRICARE work with other health insurance?

Learn more about how TRICARE works with your other health insurance on our other health insurance page.

How do I submit a claim?

Most providers will submit claims on your behalf. TRICARE network providers are required to submit claims; however, TRICARE non-network providers may require you to submit the claim. All outpatient claims must be filed no later than one year after the services are provided. Inpatient care claims must be filed one year from the date of discharge. See our Submit a Beneficiary Claim page for more information.

How do I update my other health insurance?

You can update your other health insurance information with TRICARE online (log in required) or you may complete and submit the TRICARE Other Health Insurance Questionnaire. Updates submitted through the website will be processed in three business days. Updates submitted through the questionnaire will be processed in 30 business days.

What is a claims recoupment?

When a payment error is discovered during the claims review process, Health Net Federal Services, LLC is required to process a correction and recover any funds paid in error (recoupment). In certain cases, a recoupment letter is sent requesting a refund. If you receive a claims recoupment letter, follow the instructions as provided. Please note cash payments are not accepted. All recoupment payments must be made by check or money order.

How can I access my explanation of benefits (EOB)?

TRICARE requires beneficiaries access individual Explanation of Benefits (EOBs) online. To do this, log in and click on “Summary TEOB.” If you would like paper copies of claim information, you can call customer service to request individual EOBs on a per-instance basis. You can also request ongoing monthly summary EOBs be sent to by mail.