Good afternoon and welcome to today's webinar presented by Wisconsin Physician Service. Our topic today is the DD 26:42 TRICARE patient's request for medical payment claim form. This form is available on our website at TRICARE for eucom, that's TRICARE the number for the letter U.com. One quick note about Medicare. If Medicare is your primary payer and you have no Medicare supplements, then you will be placed on the crossover list and we will receive electronic claims from Medicare. In that event, it will be unnecessary for you to fill out and send this claim form to our office. If you have a question on whether or not you are on the crossover list, please give us a call, and we can let you know. Our phone number is 1-866-773-0404, and we are open from 7 a.m. to 10:00 p.m. Central Standard Time. Also, there are some providers that will bill both Medicare and TRICARE, so you will need to check with your provider on how they file claims. If they submit to both Medicare and TRICARE, then once again, you will not need to complete the DD 26:42 claim form. If you do need to complete the form, you can download it at TRICAREforu.com login if you are a registered user and look for the forms under the "Contact Us" tab. If you are not a registered user, you can still access the claim form, but we highly suggest that you create an account for ease of future access to your claim information. Clicking on "Forms" will take you to the forms detail page. Here is where you can download the claim form. Once you have downloaded the claim form, it is important that you read the information regarding incomplete claim form submissions. The next slide shows the claim form entry...
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Tricare prior authorization 2020-2024 PDF Form: What You Should Know
Trocar providers — if you are in a network with a participating pharmacy, ask your prescriber for a referral. How does it all work? Your prescriptions will be dispensed with prior authorization by your prescriber. After requesting prior authorization, all prescribed medications are dispensed with prior authorization by the TRI CARE pharmacy.
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Video instructions and help with filling out and completing Tricare prior authorization form 2020-2024 PDF
