Select your view:
What can I do if TRICARE didn't pay my claim the way I thought it should?
If you haven't already done so, please check myTRICARE Secure. There you will find a brief summary that may explain how the claim was processed. You may also call our customer service representatives. They can explain why a claim was denied or why we paid the amount we paid. But if you still disagree, TRICARE offers a formal process for appealing payments.
You may file an appeal for two reasons — if a claim is either denied or paid less than what you feel is appropriate or if your request for a referral/authorization for a particular service was denied.
You must file your appeal in writing within 90 days. Remember to include any pertinent information or documents you feel would help us review your case completely. For more information, contact a representative at your TRICARE Service Center (TSC).
BACK