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 TRICARE Puerto Rico - TAP for Providers
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 Topic: About Claims

1.   What are the claim filing requirements for TRICARE Overseas Prime Puerto Rico?
2.   How do TRICARE Overseas Prime Puerto Rico Network Providers file claims?
3.   What about electronic claim filing for TRICARE Puerto Rico?
4.   Are there any changes for other TRICARE claims for retirees, TRICARE For Life, non-PRIME families?

1.  What are the claim filing requirements for TRICARE Overseas Prime Puerto Rico?
 As network providers for this program, TRICARE Puerto Rico providers are expected to accept assignment and submit all claims for TRICARE Puerto Rico program enrollees.
 
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2.  How do TRICARE Overseas Prime Puerto Rico Network Providers file claims?
 Currently, virtually all claims for TRICARE Overseas Prime Puerto Rico are submitted on paper claims to the fiscal intermediary for Humana-Military Healthcare Services.

Please submit completed claims to:

TRICARE Puerto Rico Claims
P.O. Box 7035
Camden, SC 29020
 
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3.  What about electronic claim filing for TRICARE Puerto Rico?
 Electronic claim filing is currently only available through an electronic clearinghouse based in Puerto Rico. Providers interested in filing their claims electronically should contact Immediata in San Juan.
 
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4.  Are there any changes for other TRICARE claims for retirees, TRICARE For Life, non-PRIME families?
 If you are seeing patients for TRICARE who are not Active Duty Service Members or PRIME Active Duty Family Members, please continue to submit all claims to:

Wisconsin Physician Services (WPS)
Attn: Foreign Claims
P.O. Box 7985
Madison, WI 53707-7985
 
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