How to check TRICARE claim status?
Quick Answer
Check TRICARE claim status through Humana Military or TriWest online portals, milConnect, or by calling your regional contractor. View EOBs and payment details for processed claims.
Detailed Answer
Tracking the status of your TRICARE claims helps ensure your healthcare expenses are processed correctly and on time. Through your regional contractor's website, log into your account on Humana Military (humana-military.com) for East Region or TriWest (triwest.com) for West Region. Navigate to the claims section to view submitted claims, processing status, payment details, and Explanations of Benefits (EOBs). Through milConnect, log in at milconnect.dmdc.osd.mil and access the health care section to view claims across both regions. By phone, call your regional contractor's customer service (Humana Military at 1-800-444-5445 or TriWest at 1-844-866-9378) with your beneficiary information and claim details ready. Claims typically take 30 days to process from the date received. If a claim shows as denied, review the denial reason on the EOB and consider whether an appeal is appropriate. Common reasons for claim delays include missing or incorrect information on the claim form, provider not submitting required documentation, coordination of benefits issues with other insurance, and non-network providers not filing claims timely. For overseas claims processed by International SOS, check status through their portal or contact them directly.
Related TRICARE Terms
Related Questions
What is an EOB in TRICARE?
An EOB (Explanation of Benefits) is a statement from TRICARE that details the services billed, amounts paid by TRICARE, and any remaining costs the beneficiary owes.
How to file a TRICARE claim?
Network providers file claims for you. For non-network providers, submit a claim form (DD Form 2642) with an itemized bill to your regional contractor within one year of service.