Q18:
I am a Reservist with a Dental Line of Duty. What do I do?
A:
Defense Health Agency, Great Lakes does not handle dental claims. All dental claims and Line of Duty information must be routed through United Concordia, at:
United Concordia ADDP Authorization
P.O. Box 69431
Harrisburg, PA 17106-9431
Q23:
Why can’t my provider submit a claim?
A:
Sometimes providers are uncomfortable submitting electronically if the Defense Enrollment Eligibility and Reporting System says you are ineligible for care. If they are unable to submit electronically, then they need send claims to TRICARE via fax or mail using a CMS 1500 form or a UB04 form. These are official insurance claim forms that must be completed by the provider’s office ONLY.
The provider can manually enter the member’s information: name, sponsor ID/SSN, address, and phone number.
For more information the provider can contact TRICARE directly.
East Region: https://www.humanamilitary.com/provider/
West Region: https://www.tricare-west.com/content/hnfs/home/tw/prov.html
Q28:
I received a debt collection notice. What do I do?
A:
First, register for your regional contractor’s beneficiary portal to check if the claim(s) have been submitted to TRICARE. If the claim is in the portal, your unit can contact us to authorize TRICARE to reprocess the claim(s). If the providers have not billed TRICARE, you should provide them TRICARE’s billing information. If further issues persist, you can fill out a debt collection package located on our main website and in our process guide.