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Claims

<h4>{margintop=39:Provider Online Secure Claims Portal TOP Claims Submission}</h4> {notice;fontweight=500:*** IMPORTANT NOTICE REGARDING DENTAL CARE FOR TRICARE PRIME REMOTE OVERSEAS! ***} {notice;fontweight=500:International SOS will no longer be providing dental care services for TRICARE Prime Remote Active Duty Service Members (ADSMs).} {notice;fontweight=500:After May 1, 2022, TRICARE Prime Remote Overseas ADSMs will receive all dental care services from United Concordia Companies, Inc. (UCCI) under the TRICARE Active Duty Dental Program (ADDP). } {notice;fontweight=500:*Note: If dental care was authorized by International SOS before May 1, 2022, you should continue to deliver treatment as outlined in the Authorized Dental Treatment Plan until all care has been completed.} <ul> <li>{notice;fontweight=500:For care delivered before May 1, 2022, please submit your claim to the TOP Claims Processor via the <a href="https://portal.tricare-overseas.com/wps/portal/osp/login/!ut/p/z1/hY69CoMwFIWfpYOj3msFK90ylIo4CB1q71KipCqokZvU0LdvoGvFs52fDw4Q1ECzXIdO2kHPcvT-QemzyvM0jzMsMS4vKKrqVohjllzxBPe9AfkaNyTQ87Q3KYC6UTe_N2JukqwDYvVSrDh6s497axdzDjBA51xkeWglq1Cvio2SJmr1FOA_uNfGQr3FwDLVGFLzceJw-AI_cnvG/dz/d5/L2dBISEvZ0FBIS9nQSEh/" target="_blank">Secure Provider Online Secure Claims Portal</a>. Alternatively, claims may be sent via fax or postal mail. Visit <a href="http://www.tricare-overseas.com/providers/claims" target="_blank">www.tricare-overseas.com/providers/claims</a> for more information.}</li> <li>{notice;fontweight=500:For care delivered after May 1, 2022, please submit the claim to UCCI, the TRICARE Active Duty Dental Program (ADDP) contractor. Visit <a href="https://secure.addp-ucci.com/home" target="_blank">https://secure.addp-ucci.com/home</a> or the <a href="https://tricare.mil/CoveredServices/Dental/ADDental/ADDP" target="_blank">TRICARE ADDP webpage</a> for more information.}</li> </ul> {notice;fontweight=500:******************************************************************************************************************} As part of the TRICARE Overseas Program (TOP), all TOP Network Providers are required to submit a compliant TRICARE accepted Claim Form and send it along with an itemized invoice (for covered medical services) to ensure their claim is reimbursed. International SOS will support you by sending the needed TRICARE Case documents, including the pre-populated Claim Development Worksheet (CDW). Claim Forms and Itemized Invoices are not required when submitting claims electronically through the Provider Online Secure Claims Portal. Using the Online Secure Claims Portal significantly reduces the amount of time it takes for a claim to be received by the TOP Claims Processor and therefore can result in faster payments. After submitting your claim electronically, it can be tracked immediately. For more details on how to register, obtain a username and password and submit claims via the TOP Provider Online Secure Claims Portal , check out our Quick Start Guides (see below) or <a href="https://www.youtube.com/playlist?list=PLWdSy1gkkWhi7eISEtMnDa4hPSe6C7fPc" target="_blank">Video Tutorials.</a> <table style="width: 712.667px; color: rgb(62, 62, 60); white-space: pre-wrap;"> <tbody> <tr> <td colspan="3" rowspan="1" style="text-align: center; border-width: 1px 0px; font-size: 0.875rem;">{fontweight=500:Quick Start Guide:} {fontweight=500:Online Claims Submission}</td> </tr> <tr> <td colspan="1" rowspan="1" style="text-align: center; border-width: 1px 1px 1px 0px; font-size: 0.875rem;">{fontweight=400;downloaddocs=/providers/tco-media/documents/quick-start-guide--online-claim-submission--english-rev-jan-2021:English} </td> <td colspan="1" rowspan="1" style="text-align: center; border: 1px solid rgb(218, 229, 237); font-size: 0.875rem;">{downloaddocs=/providers/tco-media/documents/quick-start-guide--online-claim-submission-rev-jan-2021-german:German} </td> <td colspan="1" rowspan="1" style="text-align: center; border-width: 1px 0px 1px 1px; font-size: 0.875rem;">{downloaddocs=/providers/tco-media/documents/quick-start-guide--online-claim-submission-rev-jan-2021-spanish:Spanish}</td> </tr> <tr> <td colspan="1" rowspan="1" style="text-align: center; border-width: 1px 1px 1px 0px; font-size: 0.875rem;">{downloaddocs=/providers/tco-media/documents/qui-start-guid-online-claim-sub-jan21:French} </td> <td colspan="1" rowspan="1" style="text-align: center; border: 1px solid rgb(218, 229, 237); font-size: 0.875rem;"> {downloaddocs=/providers/tco-media/documents/quick-start-guide---online-claim-submission---italian---rev-jan-2021:Italian}  </td> <td colspan="1" rowspan="1" style="text-align: center; border-width: 1px 0px 1px 1px; font-size: 0.875rem;"> {downloaddocs=/providers/tco-media/documents/quick-start-guide--online-claim-submission--polish-feb-2021:Polish} </td> </tr> <tr> <td colspan="1" rowspan="1" style="text-align: center; border-width: 1px 1px 1px 0px; font-size: 0.875rem;"> </td> <td colspan="1" rowspan="1" style="text-align: center; border: 1px solid rgb(218, 229, 237); font-size: 0.875rem;"> {downloaddocs=/providers/tco-media/documents/quick-start-guide--online-claim-submission-rev-jan-2021-turkish:Turkish}  </td> <td colspan="1" rowspan="1" style="text-align: center; border-width: 1px 0px 1px 1px; font-size: 0.875rem;"> </td> </tr> </tbody> </table> <h4>TOP Claims Submission Methods</h4> Providers can choose from various methods to submit their TOP claims for reimbursement. The Provider Online Secure Claims Portal is the preferred method for submitting claims and allows for a quicker reimbursement. Alternatively, you may submit TOP claims via overseas fax or overseas mail.   When using these alternate methods, you must submit compliant TRICARE accepted Claim Forms and send this along with an Itemized Invoice (for covered medical services) to ensure the TOP claim is reimbursed. Invoices can be submitted in any language, and most currencies are accepted. {showimage=/cms/delivery/media/MCREHAMG33DFBK3DXW24VWMN63QY:} {fontweight=500:Overseas Fax:} You can submit a Claim Form along with the itemized invoice to the following fax number: +1-608-301-2251. Providers should ensure that the invoices and claim forms are sent in black and white. {fontweight=500:Overseas Mail:} The Claim Form and invoices can be mailed to the mailing addresses below. {fontweight=500:Note:} If you receive an Authorization from International SOS, the mailing address will be included on that letter. For overseas mail details click {contentlink=/beneficiaries/claims/top-claims-mailing-addresses:here.} <h4>{margintop=-15;marginbottom=-7:Timely Overseas Claims Filing}</h4> Claims for care received overseas {fontweight=500:must be filed within three years of the date of service or within three years of the date of an inpatient discharge.} Claims for care received in the United States or U.S. territories (American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands) must be filed within one year of the date of service or the date of an inpatient discharge. International SOS encourages providers to submit their TOP Claims and invoices within 1 year of the date of service, to ensure accurate and timely processing. <h4>{margintop=-6;marginbottom=-10:TOP Claim Submission Guides:}</h4> {marginleft=-2;showimage=/resource/1659101612000/site_images_sample/images/ICON_tricare.PNG:}{formstitle:Guide To Completing the Claim Development Worksheet}{nomargin:} {marginleft=31: }{fontsize=15;downloaddocs=/providers/tco-media/documents/claim-form-guide---claim-development-worksheet-jan2023eng:English} | {fontsize=15;downloaddocs=/providers/tco-media/documents/claim-form-guide---claim-development-worksheet-jan2023fre:French} | {fontsize=15;downloaddocs=/providers/tco-media/documents/claim-form-guide---claim-development-worksheet-jan2023ger:German} | {fontsize=15;downloaddocs=/providers/tco-media/documents/claim-form-guide---claim-development-worksheet-jan2023greek:Greek} | {fontsize=15;downloaddocs=/providers/tco-media/documents/claim-form-guide---claim-development-worksheet-jan2023ita:Italian} | {fontsize=15;downloaddocs=/providers/tco-media/documents/claim-form-guide---claim-development-worksheet-jan2023por:Portuguese} | {fontsize=15;downloaddocs=/providers/tco-media/documents/claim-form-guide---claim-development-worksheet-jan2023spa:Spanish} | {fontsize=15;downloaddocs=/providers/tco-media/documents/claim-form-guide---claim-development-worksheet-jan2023tur:Turkish} |{nomargin:} {marginleft=31: } {fontsize=15;downloaddocs=/providers/tco-media/documents/claim-form-guide---claim-development-worksheet-jan2023pol:Polish} | {fontsize=15;downloaddocs=/providers/tco-media/documents/claim-form-guide---claim-development-worksheet-jan2023ara:Arabic} | {fontsize=15;downloaddocs=/providers/tco-media/documents/claim-form-guide---claim-development-worksheet-jan2023hun:Hungarian}{marginbottom=56:} {marginleft=-2;showimage=/resource/1659101612000/site_images_sample/images/ICON_tricare.PNG:}{formstitle:Guide to Completing the CMS 1500 Claim Form}{nomargin:} {marginleft=31: }{fontsize=15;downloaddocs=/providers/tco-media/documents/claim-form-guide-cms-1500-englishJAN2023:English} | {fontsize=15;downloaddocs=/providers/tco-media/documents/claim-form-guide-cms-1500-spaJAN2023:Spanish} | {fontsize=15;downloaddocs=/providers/tco-media/documents/claim-form-guide-cms-1500-gerJAN2023:German}{marginbottom=56:} {marginleft=-2;showimage=/resource/1659101612000/site_images_sample/images/ICON_tricare.PNG:}{formstitle:Guide to Completing the UB-04 Claim Form}{nomargin:} {marginleft=31: }{fontsize=15;downloaddocs=/providers/tco-media/documents/claim-form-guide---ub-04-englishJAN2023:English} | {fontsize=15;downloaddocs=/providers/tco-media/documents/claim-form-guide---ub-04-spaJAN2023:Spanish} | {fontsize=15;downloaddocs=/providers/tco-media/documents/claim-form-guide---ub-04-gerJAN2023:German}{marginbottom=56:} {marginleft=-2;showimage=/resource/1659101612000/site_images_sample/images/ICON_tricare.PNG:}{formstitle:TOP Explanation of Benefits Denial Codes and Remarks}{nomargin:} {marginleft=31: }{fontsize=15;downloaddocs=/providers/tco-media/documents/EOB-Denials-Remarks-ENG-SEPT-2018:English} | {fontsize=15;downloaddocs=/providers/tco-media/documents/EOB-DENIAL-CODES-German-AUG-2018-FINAL:German} | {fontsize=15;downloaddocs=/providers/tco-media/documents/EOB-DENIAL-CODES-Spanish-AUG-2018-FINAL:Spanish} | {fontsize=15;downloaddocs=/providers/tco-media/documents/EOB-DENIAL-CODES-Italian-AUG-2018-FINAL:Italian} | {fontsize=15;downloaddocs=/providers/tco-media/documents/EOB-DENIAL-CODES-French-AUG-2018-FINAL:French} | {fontsize=15;downloaddocs=/providers/tco-media/documents/EOB-DENIAL-CODES-Portuguese-AUG-2018-FINAL:Portuguese} | {fontsize=15;downloaddocs=/providers/tco-media/documents/EOB-DENIAL-CODES-Turkish-AUG-2018-FINAL:Turkish}{marginbottom=56:} {marginleft=-2;showimage=/resource/1659101612000/site_images_sample/images/ICON_tricare.PNG:}{formstitle:Billing Information for Authorized Laboratory Services}{nomargin:} {marginleft=31: }{fontsize=15;downloaddocs=/providers/tco-media/documents/Billing-Auth-Lab-Services-ENG-NOV2021:English} | {fontsize=15;downloaddocs=/providers/tco-media/documents/Billing-Auth-Lab-Services-GER-NOV2021:German} | {fontsize=15;downloaddocs=/providers/tco-media/documents/Billing-Auth-Lab-Services-SPA-NOV2021:Spanish} | {fontsize=15;downloaddocs=/providers/tco-media/documents/Billing-Auth-Lab-Services-FRE-NOV2021:French} | {fontsize=15;downloaddocs=/providers/tco-media/documents/Billing-Auth-Lab-Services-ITA-NOV2021:Italian} | {fontsize=15;downloaddocs=/providers/tco-media/documents/Billing-Auth-Lab-Services-POL-NOV2021:Polish}{marginbottom=56:} {marginleft=-2;showimage=/resource/1659101612000/site_images_sample/images/ICON_tricare.PNG:}{formstitle:What Is the Claims Portal and Why Should I Use It?}{nomargin:} {marginleft=31: }{fontsize=15;downloaddocs=/providers/tco-media/documents/WHY-SHOULD-I-USE-CLAIMSPORTAL-ENG:English} | {fontsize=15;downloaddocs=/providers/tco-media/documents/WHY-SHOULD-I-USE-CLAIMSPORTAL-GER:German} | {fontsize=15;downloaddocs=/providers/tco-media/documents/WHY-SHOULD-I-USE-CLAIMSPORTAL-SPA:Spanish} | {fontsize=15;downloaddocs=/providers/tco-media/documents/WHY-SHOULD-I-USE-CLAIMSPORTAL-ARA:Arabic} | {fontsize=15;downloaddocs=/providers/tco-media/documents/WHY-SHOULD-I-USE-CLAIMSPORTAL-FRE:French} | {fontsize=15;downloaddocs=/providers/tco-media/documents/WHY-SHOULD-I-USE-CLAIMSPORTAL-ITA:Italian} | {fontsize=15;downloaddocs=/providers/tco-media/documents/WHY-SHOULD-I-USE-CLAIMSPORTAL-POL:Polish} | {fontsize=15;downloaddocs=/providers/tco-media/documents/WHY-SHOULD-I-USE-CLAIMSPORTAL-POR:Portuguese} |{nomargin:} {marginleft=31: }{fontsize=15;downloaddocs=/providers/tco-media/documents/WHY-SHOULD-I-USE-CLAIMSPORTAL-ROM:Romanian} | {fontsize=15;downloaddocs=/providers/tco-media/documents/WHY-SHOULD-I-USE-CLAIMSPORTAL-TUR:Turkish}{marginbottom=56:} {marginleft=-2;showimage=/resource/1659101612000/site_images_sample/images/ICON_tricare.PNG:}{formstitle:What Is a Clean Claim?}{nomargin:} {marginleft=31: }{fontsize=15;downloaddocs=/providers/tco-media/documents/Clean-Claim-ENG:English} | {fontsize=15;downloaddocs=/providers/tco-media/documents/Clean-Claim-GER:German} | {fontsize=15;downloaddocs=/providers/tco-media/documents/Clean-Claim-SPA:Spanish} | {fontsize=15;downloaddocs=/providers/tco-media/documents/Clean-Claim-ARA:Arabic} | {fontsize=15;downloaddocs=/providers/tco-media/documents/Clean-Claim-FRE:French} | {fontsize=15;downloaddocs=/providers/tco-media/documents/Clean-Claim-ITA:Italian} |{fontsize=15;downloaddocs=/providers/tco-media/documents/Clean-Claim-POL:Polish} | {fontsize=15;downloaddocs=/providers/tco-media/documents/Clean-Claim-POR:Portuguese} |{nomargin:} {marginleft=31: }{fontsize=15;downloaddocs=/providers/tco-media/documents/Clean-Claim-ROM:Romanian} | {fontsize=15;downloaddocs=/providers/tco-media/documents/Clean-Claim-TUR:Turkish}{marginbottom=56:} {marginleft=-2;showimage=/resource/1659101612000/site_images_sample/images/ICON_tricare.PNG:}{formstitle:Following Up on Submitted Claims – Who Should I Contact?}{nomargin:} {marginleft=31: }{fontsize=15;downloaddocs=/providers/tco-media/documents/Followup-submitted-claims-ENG:English} | {fontsize=15;downloaddocs=/providers/tco-media/documents/Followup-submitted-claims-GER:German} | {fontsize=15;downloaddocs=/providers/tco-media/documents/Followup-submitted-claims-SPA:Spanish} |{fontsize=15;downloaddocs=/providers/tco-media/documents/Followup-submitted-claims-ARA:Arabic} | {fontsize=15;downloaddocs=/providers/tco-media/documents/Followup-submitted-claims-FRE:French} | {fontsize=15;downloaddocs=/providers/tco-media/documents/Followup-submitted-claims-ITA:Italian} | {fontsize=15;downloaddocs=/providers/tco-media/documents/Followup-submitted-claims-POL:Polish} | {fontsize=15;downloaddocs=/providers/tco-media/documents/Followup-submitted-claims-POR:Portuguese} |{nomargin:} {marginleft=31: }{fontsize=15;downloaddocs=/providers/tco-media/documents/Followup-submitted-claims-ROM:Romanian} | {fontsize=15;downloaddocs=/providers/tco-media/documents/Followup-submitted-claims-TUR:Turkish}{marginbottom=56:} {marginleft=-2;showimage=/resource/1659101612000/site_images_sample/images/ICON_tricare.PNG:}{formstitle:What Is Other Health Insurance (OHI)?}{nomargin:} {marginleft=31: }{fontsize=15;downloaddocs=/providers/tco-media/documents/OHI-FEB2023-ENG:English} | {fontsize=15;downloaddocs=/providers/tco-media/documents/OHI-FEB2023-GER:German} | {fontsize=15;downloaddocs=/providers/tco-media/documents/OHI-FEB2023-SPA:Spanish} |{fontsize=15;downloaddocs=/providers/tco-media/documents/OHI-FEB2023-ARA:Arabic} | {fontsize=15;downloaddocs=/providers/tco-media/documents/OHI-FEB2023-FRE:French} | {fontsize=15;downloaddocs=/providers/tco-media/documents/OHI-FEB2023-ITA:Italian} | {fontsize=15;downloaddocs=/providers/tco-media/documents/OHI-FEB2023-POR:Portuguese} | {fontsize=15;downloaddocs=/providers/tco-media/documents/OHI-FEB2023-TUR:Turkish}{marginbottom=65:}

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