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<h2><strong>CLAIM FORMS</strong></h2>
<p>Online claims submission is the preferred option. <a href="https://tricare-overseas.com/beneficiaries/claims/claims-portal-register" target="_blank">Register</a> on the Beneficiary Secure Claims Portal to get started today.</p>
<p>Once registered on the Beneficiary Secure Claims Portal, signing up for direct deposit is quick, safe, and convenient. Download the <a href="https://tricare-overseas.com/beneficiaries/tco-media/documents/achdirectdeposit-final" target="_blank">ACH Direct Deposit Registration Guide</a> to learn more. For additional direct deposit information, <a href="https://tricare-overseas.com/beneficiaries/tco-media/documents/Direct-Deposit-Flyer-LetterSize" target="_blank">click here</a>.</p>
<p>Alternatively, beneficiaries can submit the TRICARE DoD/CHAMPUS Claim Form (DD Form 2642) for reimbursement. Send your claims to the <a href="https://tricare-overseas.com/beneficiaries/claims/top-claims-mailing-addresses" target="_blank">TOP Claims Processor for the overseas area where you live</a>. If you receive care while traveling, file your TRICARE claims in the area where you live, not the area where you received care.</p>
<p><strong>Note: Timely Filing of Overseas Claims:</strong></p>
<ul>
<li>Claims for care received overseas must be filed within three years of the date of service or within three years of the date of an inpatient discharge.</li>
<li>Claims for care received in the United States or U.S. territories (American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands) must be filed within one year of the date of service or the date of an inpatient discharge.</li>
</ul>
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<td colspan="1" rowspan="1" width="306" style="width: 229.5pt; padding: .75pt .75pt .75pt .75pt; height: 42.0pt;"><p style="margin-top: 6.0pt; margin-right: .1in; margin-bottom: 6.0pt; margin-left: .1in;"><a href="https://www.esd.whs.mil/Portals/54/Documents/DD/forms/dd/dd2642.pdf" target="_blank">TRICARE DoD/CHAMPUS Claim Form – Patient’s Request for Medical Payment (DD Form 2642)</a></p></td>
<td colspan="1" rowspan="1" width="318" style="width: 238.5pt; padding: .75pt .75pt .75pt .75pt; height: 42.0pt;"><p style="margin-top: 6.0pt; margin-right: .1in; margin-bottom: 6.0pt; margin-left: .1in;">Beneficiaries filing their own medical claims must use this form to receive reimbursement from the TOP Claims Processor for TRICARE Covered Services.</p> <p style="margin-top: 6.0pt; margin-right: .1in; margin-bottom: 6.0pt; margin-left: .1in;"><i>Note: TRICARE Overseas beneficiaries must submit proof of payment with all claims. When submitting your DD Form 2642, you should also include an itemized bill or invoice, diagnosis describing why you received medical care, and/or an explanation of benefits from your other health insurance, if applicable.</i> <a href="http://www.tricare.mil/proofofpayment" target="_blank"><i>Click here</i></a><i> for additional information regarding Overseas Proof of Payment.</i></p></td>
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<td colspan="2" rowspan="1" width="624" style="width: 6.5in; padding: .75pt .75pt .75pt .75pt; height: 42.0pt;"><p style="margin-top: 6.0pt; margin-right: .1in; margin-bottom: 6.0pt; margin-left: .1in;"><b>The following additional claims-related forms are available if needed:</b></p></td>
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<td colspan="1" rowspan="1" width="306" style="width: 229.5pt; padding: .75pt .75pt .75pt .75pt; height: 42.0pt;"><p style="margin-top: 6.0pt; margin-right: .1in; margin-bottom: 6.0pt; margin-left: .1in;"><a href="https://tricare-overseas.com/beneficiaries/tco-media/documents/TRICAREOHIQuestionnaire01" target="_blank">TRICARE Other Health Insurance Questionnaire</a></p></td>
<td colspan="1" rowspan="1" width="318" style="width: 238.5pt; padding: .75pt .75pt .75pt .75pt; height: 42.0pt;"><p style="margin-top: 6.0pt; margin-right: .1in; margin-bottom: 6.0pt; margin-left: .1in;">If you have other health insurance in addition to TRICARE, click <a href="https://tricare-overseas.com/BENEFICIARIES/CLAIMS/OTHER-HEALTH-INSURANCE" target="_blank">here</a> to learn more about how to update your OHI and benefits information.</p></td>
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<td colspan="1" rowspan="1" width="306" style="width: 229.5pt; padding: .75pt .75pt .75pt .75pt; height: 42.0pt;"><p style="margin-top: 6.0pt; margin-right: .1in; margin-bottom: 6.0pt; margin-left: .1in;"><a href="https://tricare-overseas.com/beneficiaries/tco-media/documents/Overseas_Estate_Notification" target="_blank">Overseas Estate Notification Form</a></p></td>
<td colspan="1" rowspan="1" width="318" style="width: 238.5pt; padding: .75pt .75pt .75pt .75pt; height: 42.0pt;"><p style="margin-top: 6.0pt; margin-right: .1in; margin-bottom: 6.0pt; margin-left: .1in;">This form is used to notify the TOP Claims Processor that your loved one is now deceased. We regretfully request that the following information be provided so we may update our files accurately.</p></td>
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