What should beneficiaries NOT do to resolve claims regarding TRICARE?

Prepare for the TRICARE Fundamentals Course (TFC) Exam with flashcards and multiple choice questions, each with hints and explanations. Ensure success on your test!

Beneficiaries should not contact the adjudicating staff judge advocate to resolve claims regarding TRICARE. This option is not appropriate because the staff judge advocate is typically involved in legal matters and military justice rather than in the claims processing or appeals for TRICARE. Claims issues are best handled through the designated TRICARE claims processing organizations, customer service representatives, or through official channels provided by the TRICARE program.

In contrast, the other approaches mentioned are constructive steps beneficiaries can take to navigate claims issues. Reviewing the Explanation of Benefits helps beneficiaries understand the reason behind claim decisions. Following up with healthcare providers can clarify services rendered, ensuring all relevant information is considered during the claims review. Furthermore, submitting additional documentation when required can contribute to a thorough evaluation of the claim, ultimately facilitating resolution. These actions align with the recommended processes for addressing claims and seeking clarifications within the TRICARE system.

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