Timely Filing Waivers

According to TRICARE guidelines, providers must file claims within one year from the date of service or the discharge date for inpatient services. TRICARE denies claims received after the deadline.

A timely filing waiver can be requested by providing documentation that proves one of the following conditions:

• Retroactive eligibility or authorization was issued after the filing deadline.
• The patient was mentally incompetent and did not have a legal guardian appointed.
• The claim was submitted before the filing deadline. (Note: Only claims that have been assigned a claim number can be appealed.)
• The Explanation of Benefits (EOB) from the patient’s OHI was received within the TRICARE filing deadline, and the claim was submitted to TRICARE within 90 days from the OHI decision date.

Providers can send requests for a timely filing waiver to:

TRICARE West Correspondence
P.O. Box 2748
Virginia Beach, VA 23450