A:
Sometimes providers are uncomfortable submitting electronically if the Defense Enrollment Eligibility and Reporting System says you are ineligible for care. If they are unable to submit electronically, then they need send claims to TRICARE via fax or mail using a CMS 1500 form or a UB04 form. These are official insurance claim forms that must be completed by the provider’s office ONLY.
The provider can manually enter the member’s information: name, sponsor ID/SSN, address, and phone number.
For more information the provider can contact TRICARE directly.
East Region: https://www.humanamilitary.com/provider/
West Region: https://tricare.triwest.com/en/provider/