Contact your unit representative and the nearest same-service Military Treatment Facility and ask for the Patient Administrator or the Benefit Counseling and Assistance Coordinator. Each should be able to assist.

In Puerto Rico, all information for eligibility and Line of Duty Determination is processed by Rodriguez Army Health Clinic at Fort Buchanan. Please forward all necessary documentation there.

Eligibility is determined by drill attendance rosters and orders. After it ends, you are no longer eligible for care. All care should take place while you are still in duty status. Any claims after eligibility dates must have a Line of Duty Determination and pre-authorization.

The TRICARE Overseas Program contractor should process claims for the Continental United States. If you received civilian health care while on orders, traveling, or visiting abroad regardless of where you reside or where you are enrolled, the TRICARE Overseas Program contractor should process the claims. (See TRICARE Operations Manual and refer to Chapter 8, Section 2, paragraph 3.0.)

You will first need to register for a beneficiary account via the contractor’s portal. You can then view claims, authorizations, and Explanation of Benefits. 

• East region: https://infocenter.humana-military.com/beneficiary/service/Registration/Registration 
• West region: https://tricare-bene.triwest.com/signin  

Defense Health Agency, Great Lakes does not pay claims. When your eligibility is verified, we authorize payment of claims by TRICARE.

When you retire/separate, you lose your Line of Duty eligibility. This also makes your pre-authorization(s) invalid. If you are still receiving care AFTER separation/retirement date, it will be denied. However, you may go to Veterans Affairs for continual care, if you are deemed eligible.

Your unit can contact us via phone at 888-647-6676, option 2. You may also email us at: dha.great-lakes.j-10.mbx.mmso-lod-misc@health.mil. Before contacting us, please ensure you have the billed amount and date of service. Please do not send us bills. 

TRICARE uses your Social Security number to verify your eligibility. You may also provide your Department of Defense Benefits Number/DOD Identification Number.

The provider should bill the region of your Home of Record in the Defense Enrollment Eligibility Reporting System. Your Home of Record should reflect where you currently reside.

All TRICARE Prime Remote concerns/issues must go through your regional contractor.

Defense Health Agency, Great Lakes does not address dependent claims. All dependent concerns must go through your regional contractor.

There could be several reasons. You can review your Explanation of Benefit or give us a call at 1-888-647-6676 for review.

If our office cannot see or enter your eligibility on file, we cannot authorize claim payments.

Defense Health Agency does not process claims for Coast Guard. You must contact the Coast Guard Service Point of Contact at 800-942-2422.