If you are returning an overpayment to TRICARE and do not have a copy of the TRICARE Explanation of Benefits, please include this information with your refund. If there has been a change or you have become eligible for insurance other than TRICARE, you can submit the information using this questionnaire. Please send all written correspondence to: If you have any other questions or if you need further assistance, please contact WPS TRICARE Customer Service at our toll free number 1-86.įor those with a Telecommunications Device for the Deaf (TDD) call our toll free line at 1-86. In the instance no legal representative, spouse, next of kin or parent are available to sign the claim, please provide a copy of the probate determination. This Form is used to notify TRICARE that your loved one is now deceased. This form is not valid to designate a representative for the Appeals process.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |