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TFL is managed by the Department of Defense. Medicare is managed by the Centers for Medicare Medicaid Services (CMS). The two agencies work together to coordinate benefits.
The Federal Medical Recovery Act allows TRICARE to be reimbursed for its costs of treating you if you are injured in an accident that was caused by someone else.
Some diagnosis codes may indicate an injury or illness which a third party may have caused. When the TRICARE contractor gets claims with these types of diagnosis codes, the contractor will send you a Statement of Personal Injury Possible Third Party Liability form (DD Form 2527) to fill out.
TRICARE For Life (TFL) is Medicare-wraparound coverage if you are TRICARE-eligible and have Medicare Part A and B, regardless of age or place of residence. Coverage is only for those with Medicare and who are TRICARE-eligible. Coverage doesnt extend to family members.
STATEMENT OF PERSONAL INJURY - POSSIBLE THIRD PARTY LIABILITY. DEFENSE HEALTH AGENCY. Please fill out this form to permit the United States to recover medical expenses from whoever caused your injury.
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If you are interested in learning more about TRICARE For Life EDI claim submission, ERA and EFT, please contact us at 1-800-782-2680, option 1 for the EDI Help Desk, option 2 for the EDI Marketing staff, or visit our EDI Enrollment page.
In the U.S. and U.S. Territories, contact the TRICARE For Life contractor: 1-866-773-0404 (TDD 1-866-773-0405) .TRICARE4u.com.
Third Party Liability (TPL) refers to the legal obligation of third parties (for example, certain individuals, entities, insurers, or programs) to pay part or all of the expenditures for medical assistance furnished under a Medicaid state plan.

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