![]() ![]() If care is required when traveling, you must verify your plan’s requirements for obtaining a referral from your primary care manager and/or Health Net Federal Services, LLC (HNFS). TRICARE beneficiaries are instructed to receive all routine care, when possible, from network providers in their designated region prior to travel. Do I have to submit my own claim when I am traveling and seek care from a provider in the East region? You can also request ongoing monthly summary EOBs be sent to by mail. To do this, log in and click on “EOB Summary.” If you would like paper copies of claim information, you can call customer service to request individual EOBs on a per-instance basis. TRICARE requires beneficiaries access individual Explanation of Benefits (EOBs) online. How can I access my explanation of benefits (EOB)? All recoupment payments must be made by check or money order. ![]() Please note cash payments are not accepted. If you receive a claims recoupment letter, follow the instructions as provided. In certain cases, a recoupment letter is sent requesting a refund. 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). Note: If you need immediate assistance with a prescription that denied due to OHI information, you may contact Express Scripts at 1-87 for assistance. Updates submitted through the questionnaire will be processed in 30 business days. Updates submitted through the website will be processed in three business days. 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. How do I update my other health insurance? See our Submit a Beneficiary Claim page for more information. Inpatient care claims must be filed one year from the date of discharge. All outpatient claims must be filed no later than one year after the services are provided. TRICARE network providers are required to submit claims on your behalf however, TRICARE non-network providers may require you to submit the claim. Learn more about how TRICARE works with your other health insurance on our other health insurance page. ![]() How does TRICARE work with other health insurance? You can view your EOB online (log in required). The Explanation of Benefits (EOB) will provide details as to why your claim was denied. You can check the status of your claim online. ![]()
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