PROVIDERS

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Provider Forms


Find all the forms you need to take care of your TRICARE business.

 

ERA Enrollment

Third Party Liability Form (DD2527)
Electronic Data Interchange (EDI) Attachment Form

Authorization to Disclose Information

Reimbursement of Capital and Direct Medical Education Costs

Other Health Insurance Questionnaire

Revised CMS 1500 claim form

Taxpayer Identification Number Request (W-9)
Provider Certification Forms

National Provider Identifier Forms

 


 

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