What do I do if I receive an incorrect TRICARE bill?

Billing errors can occur and should be addressed promptly.

Steps to Resolve:

1. Compare bill to your EOB 2. Verify services match what you received 3. Check TRICARE-allowed amounts 4. Contact provider billing department 5. Call regional contractor if needed

Common Billing Errors

• Billing for covered services
• Wrong patient information
• Duplicate billing
• Incorrect coding
• Balance billing (network)

What to Check

• Date of service
• Service description
• Charged amounts
• Your responsibility amount
• Insurance applied correctly

If Provider Balance Bills

• Network cannot balance bill
• Some non-network protections exist
• Document communication
• Contact TRICARE if needed

Dispute Process

• Write to provider
• Request itemized bill
• Provide EOB as proof
• Escalate to TRICARE