TriWest Helps Beneficiaries with Third Party Liability

Accidents and injuries are a part of life. TRICARE beneficiaries can reduce the "hassle factor" by submitting the correct health care forms when injured.

The Federal Medical Recovery Act allows TRICARE to be reimbursed for its costs of treating beneficiaries if they are injured in an accident that was caused by someone else. The injury may require that beneficiaries complete a DD Form 2527 Statement of Personal Injury - Third Party Liability form (TPL) in order to allow claim(s) to process. The TPL form provides information about a beneficiaries injuries and allows TriWest to determine the appropriate payer for the claim.

The DD Form 2527 Statement of Personal Injury - Third Party Liability Form will be sent to the beneficiary if a claim is received that appears to have third party liability involvement.

You must complete and sign this form and follow the directions for returning the form within 35 calendar days. You may download the form,  print and mail your completed form to TriWest at:

TriWest Healthcare Alliance
Attn: Claims/TFL
P.O. Box 41520
Phoenix, AZ 85080

For more information on third party liability with TRICARE claims, please contact TriWest toll-free at 1-888-TRIWEST (874-9378) or visit www.triwest.com.