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Get Tricare Overseas Deutsch

Er vollständig ausgefüllt, vom Patienten (Leistungsempfänger) und Leistungserbringer unterschrieben, und gemäß den festgelegten Abgabefristen des TRICARE Overseas Program zusammen mit einer aufgeschlüsselten Rechnung an die Rechnungsadresse auf der Autorisierung geschickt werden (besuchen Sie auch www.tricareoverseas.com/contactus falls Sie die Adressangaben benötigen). 1. Patientendetails Autorisierungsnummer: Name: Geburtsdatum: First (JJJJMMTT) Initial Last Adresse: Geschlecht: SS.

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