provider services
Reading Hospital pre-admission testing
Confirm the exact product or service
Pennsylvania
Not researched for this route
Pre-admission testing; alternate number 484-628-8410.
View source ↗ · Source checked 2026-10-25
Report an updateMedical administration contacts
Search individual contact routes for the team and purpose you need. Each result keeps its own phone, fax, email, address, source and restrictions.
16,111 contact routes · Page 288 of 323
Hospitals and health systems · Explicitly scoped route — read the source and program restrictions
Pennsylvania · Source checked 2026-10-25
provider services
Confirm the exact product or service
Pennsylvania
Not researched for this route
Pre-admission testing; alternate number 484-628-8410.
View source ↗ · Source checked 2026-10-25
Report an updatePublic health departments · Explicitly scoped route — read the source and program restrictions
New Jersey · Source checked 2026-10-22
Listed municipalities in Morris County: Dover. This is the source municipality list, not an assumption of countywide coverage.
public health
Publicly designated administrative contact; confirm the correct secure channel before sending private information.
Published hoursNot published in this record
Confirm the exact product or service
New Jersey
Listed municipalities in Morris County: Dover. This is the source municipality list, not an assumption of countywide coverage.
Morris County, NJ · Area source ↗
Mailing addressNot researched for this route
Physical address37 North Sussex Street, Dover NJ, 07801Department or program office location listed by the official directory; a separate mailing destination is not assumed.
Publicly designated health officer contact from the NJ Department of Health directory, page 75. The separate emergency after-hours number is excluded. Individual agency websites were not independently reviewed.
View source ↗ · Source checked 2026-10-22 · Source published 2026-10-05
Report an updatePublic health departments · Explicitly scoped route — read the source and program restrictions
North Dakota · Source checked 2026-10-22
Local health unit serving Towner County; specific program and tribal arrangements may differ.
public health
Confirm the exact product or service
North Dakota
Local health unit serving Towner County; specific program and tribal arrangements may differ.
Towner County, ND · Area source ↗
Mailing addressPO Box 705, Cando, ND 58324-0705Published department postal box
Physical address404 5th Avenue, Suite 3, Cando, ND 58324-0705Published local public-health office location
Administration contact in North Dakota HHS directory, updated March 2026. Seven-digit directory numbers are normalized with North Dakota area code 701. Named staff email addresses are omitted. Individual program and tribal jurisdiction limits may apply.
View source ↗ · Source checked 2026-10-22 · Official list of local public-health units ↗
Report an updatePublic health departments · Explicitly scoped route — read the source and program restrictions
Georgia · Source checked 2026-10-22
Towns County, Georgia — official county-directory listing
public health
Confirm the exact product or service
Georgia
Towns County, Georgia — official county-directory listing
Towns County, GA · Area source ↗
Mailing addressNot researched for this route
Physical address1104 Jack Dayton Circle, Young Harris, GA 30582-2334Published department or named site location; not a designated claims or medical-records submission address.
Published county department contact in the Georgia DPH county directory, District 2-0. County association follows the named directory record; it does not establish every program's eligibility or service area. The directory may publish a shared regional number. Confirm the office and purpose when connected. The listed fax has no specialized claims or medical-records submission purpose stated.
View source ↗ · Source checked 2026-10-22 · Source published 2025-11-03 · Current Georgia DPH page linking this county directory ↗
Report an updatePublic health departments · Explicitly scoped route — read the source and program restrictions
New Jersey · Source checked 2026-10-22
Listed municipalities in Morris County: Morris Twp. This is the source municipality list, not an assumption of countywide coverage.
public health
973-326-1133
Published emailPublicly designated administrative contact; confirm the correct secure channel before sending private information.
Published hoursNot published in this record
Confirm the exact product or service
New Jersey
Listed municipalities in Morris County: Morris Twp. This is the source municipality list, not an assumption of countywide coverage.
Morris County, NJ · Area source ↗
Mailing addressPO Box 7603, Morristown NJ, 07960Department mailing address listed by the official directory; confirm a program-specific document destination.
Physical address50 Woodland Avenue, Morristown NJ, 07960Department or program office location listed by the official directory; a separate mailing destination is not assumed.
Publicly designated health officer contact from the NJ Department of Health directory, page 76. The separate emergency after-hours number is excluded. Individual agency websites were not independently reviewed.
View source ↗ · Source checked 2026-10-22 · Source published 2026-10-05
Report an updatePublic health departments · Explicitly scoped route — read the source and program restrictions
New Jersey · Source checked 2026-10-22
Listed municipalities in Essex County: South Orange. This is the source municipality list, not an assumption of countywide coverage.
public health
973-761-4357
Published emailPublicly designated administrative contact; confirm the correct secure channel before sending private information.
Published hoursNot published in this record
Confirm the exact product or service
New Jersey
Listed municipalities in Essex County: South Orange. This is the source municipality list, not an assumption of countywide coverage.
Essex County, NJ · Area source ↗
Mailing addressNot researched for this route
Physical addressTwp of South Orange, 76 South Orange Avenue - Suite 305, South Orange NJ, 07079Department or program office location listed by the official directory; a separate mailing destination is not assumed.
Publicly designated health officer contact from the NJ Department of Health directory, page 31. The separate emergency after-hours number is excluded. Individual agency websites were not independently reviewed.
View source ↗ · Source checked 2026-10-22 · Source published 2026-10-05
Report an updatePublic health departments · Explicitly scoped route — read the source and program restrictions
New Jersey · Source checked 2026-10-22
Listed municipalities in Passaic County: West Milford. This is the source municipality list, not an assumption of countywide coverage.
public health
Publicly designated administrative contact; confirm the correct secure channel before sending private information.
Published hoursNot published in this record
Confirm the exact product or service
New Jersey
Listed municipalities in Passaic County: West Milford. This is the source municipality list, not an assumption of countywide coverage.
Passaic County, NJ · Area source ↗
Mailing addressNot researched for this route
Physical address1480 Union Valley Road, West Milford NJ, 07480Department or program office location listed by the official directory; a separate mailing destination is not assumed.
Publicly designated health officer contact from the NJ Department of Health directory, page 85. The separate emergency after-hours number is excluded. Individual agency websites were not independently reviewed.
View source ↗ · Source checked 2026-10-22 · Source published 2026-10-05
Report an updateAccountable care organizations · Explicitly scoped route — read the source and program restrictions
Arkansas · Arizona · Florida · Louisiana · Mississippi · North Carolina · Tennessee · Texas · medicare · Source checked 2026-10-22
provider services
CMS-designated ACO public reporting / administrative contact; not a secure clinical or claims submission address.
Published hoursNot published in this record
medicare
Arkansas · Arizona · Florida · Louisiana · Mississippi · North Carolina · Tennessee · Texas
Not researched for this route
CMS ACO ID A1401. Public reporting / administrative contact from the CMS PY2026 dataset, modified April 16, 2026. This is not a claims, eligibility, enrollment, or urgent clinical line. State tags identify states containing counties where more than 1% of assigned beneficiaries reside; they are not a statewide service-coverage or eligibility guarantee. The ACO reporting website was supplied in the dataset and was not individually reviewed in this batch.
View source ↗ · Source checked 2026-10-22 · Source published 2026-04-16 · CMS ACO dataset overview ↗ · CMS field definitions ↗
Report an updatePublic health departments · Explicitly scoped route — read the source and program restrictions
North Dakota · Source checked 2026-10-22
Local health unit serving Traill County; specific program and tribal arrangements may differ.
public health
Confirm the exact product or service
North Dakota
Local health unit serving Traill County; specific program and tribal arrangements may differ.
Traill County, ND · Area source ↗
Mailing addressPO Box 58, Hillsboro, NDPublished department postal box
Physical address114 W. Caledonia, Hillsboro, NDPublished local public-health office location
Administration contact in North Dakota HHS directory, updated March 2026. Seven-digit directory numbers are normalized with North Dakota area code 701. Named staff email addresses are omitted. Individual program and tribal jurisdiction limits may apply. Malformed four-digit ZIP in state PDF is omitted rather than corrected by inference.
View source ↗ · Source checked 2026-10-22 · Official list of local public-health units ↗
Report an updatePublic health departments · Explicitly scoped route — read the source and program restrictions
North Carolina · Source checked 2026-10-22
Transylvania County, North Carolina
public health
Confirm the exact product or service
North Carolina
Transylvania County, North Carolina
Transylvania County, NC · Area source ↗
Mailing addressNot researched for this route
Physical address106 E. Morgan St., Suite 105, Brevard, NC 28712Local health-department street address listed by NCDHHS.
Published county health-department contact; ask the office to route the administrative question to the relevant program.
View source ↗ · Source checked 2026-10-22
Report an updateHealth plans and insurers · Explicitly scoped route — read the source and program restrictions
California · workers comp · Source checked 2026-10-22
fax claims
866-871-9205
California MPN northern claim-office service center for medical bills and records; separate utilization-review fax routes are listed in the source.
Published hoursNot published in this record
workers comp
California
Mailing address for all California claims, as listed in the California MPN medical-bills-and-records instructions.
Northern center also lists Walnut Creek at 800-842-7354. The official current California MPN page links this undated claim-office PDF. Provider billing questions use the separately listed 877-228-2758. Utilization-review fax numbers are different; no county boundary or service-center hours are inferred.
View source ↗ · Source checked 2026-10-22 · travelers current ca mpn ↗
Report an updateHealth plans and insurers · Explicitly scoped route — read the source and program restrictions
California · workers comp · Source checked 2026-10-22
fax claims
877-801-9677
California MPN southern claim-office service center for medical bills and records; separate utilization-review fax routes are listed in the source.
Published hoursNot published in this record
workers comp
California
Mailing address for all California claims, as listed in the California MPN medical-bills-and-records instructions.
The official current California MPN page links this undated claim-office PDF. Provider billing questions use the separately listed 877-228-2758. Utilization-review fax numbers are different; no county boundary or service-center hours are inferred.
View source ↗ · Source checked 2026-10-22 · travelers current ca mpn ↗
Report an updateHealth plans and insurers · National contact — confirm exact product and location
National · workers comp · Source checked 2026-10-25
portal
No phone listed for this route
Published hoursNot published in this record
workers comp
National contact — confirm product and location
Not researched for this route
Travelers' provider page: search by claim number and date of injury to find the assigned claim professional, check whether a claim is open and find billing information. Web tool only. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.
View source ↗ · Source checked 2026-10-25
Report an updateHealth plans and insurers · National contact — confirm exact product and location
National · workers comp · Source checked 2026-10-25
portal
No phone listed for this route
Published hoursNot published in this record
workers comp
National contact — confirm product and location
Not researched for this route
Travelers' provider page directs providers to log in or register for electronic billing with its partners Jopari or Data Dimensions. Payer IDs are not published on the page; get them from the clearinghouse enrollment. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.
View source ↗ · Source checked 2026-10-25
Report an updateHealth plans and insurers · National contact — confirm exact product and location
National · workers comp · Source checked 2026-10-25
portal
No phone listed for this route
Published hoursNot published in this record
workers comp
National contact — confirm product and location
Not researched for this route
Travelers' provider page: File Upload securely sends bills and other documents directly to the appropriate Claim team (no fax or mail address needed). Web tool only. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.
View source ↗ · Source checked 2026-10-25
Report an updateHealth plans and insurers · National contact — confirm exact product and location
National · workers comp · Source checked 2026-10-22
claims
workers comp
National contact — confirm product and location
Not researched for this route
Current official provider claims page. No regional service-center fax or staffed hours are inferred.
View source ↗ · Source checked 2026-10-22
Report an updatePublic health departments · Explicitly scoped route — read the source and program restrictions
Montana · Source checked 2026-10-22
Treasure County published public-health route; program and tribal jurisdiction limits apply.
public health
406-342-5951
Published emailPublic-health department role inbox
Published hoursNot published in this record
Confirm the exact product or service
Montana
Treasure County published public-health route; program and tribal jurisdiction limits apply.
Treasure County, MT · Area source ↗
Mailing addressPO Box 201, Hysham, MT 59038Postal address published for this county public-health office
Routine public-health contact listed under Treasure County by Montana DPHHS. Individual programs and tribal jurisdictions may have separate routes. State directory is undated; this records the published contact, not telephone verification.
View source ↗ · Source checked 2026-10-22
Report an updatePublic health departments · Explicitly scoped route — read the source and program restrictions
Kansas · Source checked 2026-10-22
Trego County, Kansas — county office listed by KDHE
public health
785-743-5428
Published hoursMonday through Wednesday 8 a.m. to 5 p.m.; Thursday 8 a.m. to noon and 1 to 5 p.m.; Friday 8 a.m. to noon
Confirm the exact product or service
Kansas
Trego County, Kansas — county office listed by KDHE
Trego County, KS · Area source ↗
Mailing addressNot researched for this route
Physical address201 N Main Street, WaKeeney, KS 67672-2104Published public health department office location
County public health administrative contact published in the KDHE directory, updated July 23, 2026. Program availability and eligibility require department confirmation.
View source ↗ · Source checked 2026-10-22
Report an updatePublic health departments · Explicitly scoped route — read the source and program restrictions
Maine · Source checked 2026-10-22
Tremont municipal/plantation health-officer jurisdiction only; Hancock County; Maine public-health district: Downeast. County association is not countywide service.
public health
Confirm the exact product or service
Maine
Tremont municipal/plantation health-officer jurisdiction only; Hancock County; Maine public-health district: Downeast. County association is not countywide service.
Hancock County, ME · Area source ↗
Mailing addressNot researched for this route
Maine CDC official local-health-officer directory. Department contact number is reproduced without staff names or personal email addresses. State page provides no record update date, office address, fax or public mailbox. Read only; telephone reachability not tested.
View source ↗ · Source checked 2026-10-22
Report an updatePublic health departments · Explicitly scoped route — read the source and program restrictions
Wisconsin · Source checked 2026-10-22
Trempealeau County; state-listed local public health agency
public health
Confirm the exact product or service
Wisconsin
Trempealeau County; state-listed local public health agency
Trempealeau County, WI · Area source ↗
Mailing addressNot researched for this route
Physical address18600 Hobson St, Whitehall, WI 54773Published department or office street location; no records, claims or application delivery purpose is implied.
Published extension 220. No IVR menu verified.
Menus can change. No live call verification is claimed.
State agency/health-officer directory contact. The source does not promise a general switchboard, appointment eligibility or a response time. Personal staff email omitted. Published extension 220.
View source ↗ · Source checked 2026-10-22 · Source published 2026-10-12 · Official county or municipal jurisdiction listing ↗ · Municipal exclusions and shared local health jurisdictions ↗
Report an updatePublic health departments · Explicitly scoped route — read the source and program restrictions
Maine · Source checked 2026-10-22
Trenton municipal/plantation health-officer jurisdiction only; Hancock County; Maine public-health district: Downeast. County association is not countywide service.
public health
Confirm the exact product or service
Maine
Trenton municipal/plantation health-officer jurisdiction only; Hancock County; Maine public-health district: Downeast. County association is not countywide service.
Hancock County, ME · Area source ↗
Mailing addressNot researched for this route
Maine CDC official local-health-officer directory. Department contact number is reproduced without staff names or personal email addresses. State page provides no record update date, office address, fax or public mailbox. Read only; telephone reachability not tested.
View source ↗ · Source checked 2026-10-22
Report an updatePublic health departments · Explicitly scoped route — read the source and program restrictions
Georgia · Source checked 2026-10-22
Treutlen County, Georgia — official county-directory listing
public health
Confirm the exact product or service
Georgia
Treutlen County, Georgia — official county-directory listing
Treutlen County, GA · Area source ↗
Mailing addressPO Box 585, Soperton, GA 30457-0585Published department mailing address for correspondence; no claims or medical-records submission purpose is stated.
Physical address5614 N. Third Street, Soperton, GA 30457-2009Published department or named site location; not a designated claims or medical-records submission address.
Published county department contact in the Georgia DPH county directory, District 5-1. County association follows the named directory record; it does not establish every program's eligibility or service area. The directory may publish a shared regional number. Confirm the office and purpose when connected. The listed fax has no specialized claims or medical-records submission purpose stated.
View source ↗ · Source checked 2026-10-22 · Source published 2025-11-03 · Current Georgia DPH page linking this county directory ↗
Report an updateMedicare and Medicaid · Explicitly scoped route — read the source and program restrictions
Texas · medicaid · Source checked 2026-10-25
behavioral health
medicaid
Texas
Not researched for this route
Intake phone listed in the HHSC directory (also 936-521-6203). Texas HHSC-contracted local mental health authority; counties served: Liberty, Montgomery, Walker. Website: https://tcbhc.org/. Crisis line (24/7 referral help): 800-659-6994.
View source ↗ · Source checked 2026-10-25
Report an updateMedicare and Medicaid · Explicitly scoped route — read the source and program restrictions
Texas · medicaid · Source checked 2026-10-25
behavioral health
medicaid
Texas
Not researched for this route
Physical address233 Sgt Ed Holcomb Blvd. South, Conroe, TX 77304Authority main office per HHSC directory
Main phone listed in the HHSC LMHA/LBHA directory (additional main number 936-521-6100). Texas HHSC-contracted local mental health authority; counties served: Liberty, Montgomery, Walker. Website: https://tcbhc.org/. Crisis line (24/7 referral help): 800-659-6994. For patient access use the intake/crisis lines; not a payer claims line.
View source ↗ · Source checked 2026-10-25
Report an updatePublic health departments · Explicitly scoped route — read the source and program restrictions
Missouri · Source checked 2026-10-22
DeKalb, Gentry, Worth — Missouri state directory county/referral listing
public health
Confirm the exact product or service
Missouri
DeKalb, Gentry, Worth — Missouri state directory county/referral listing
DeKalb County, MO · Gentry County, MO · Worth County, MO · Area source ↗
Mailing addressNot researched for this route
Physical address302 North Park, Stanberry, MO 64489-1246Published public health department office location
Published in the Missouri DHSS local public health agency dataset, last updated July 8, 2026. County fields establish state directory referral mapping; individual services and jurisdictional exceptions require department confirmation.
View source ↗ · Source checked 2026-10-22
Report an updateMedicare and Medicaid · National contact — confirm exact product and location
National · tricare · Source checked 2026-10-20
provider services
tricare
National contact — confirm product and location
Not researched for this route
East Region states only.
View source ↗ · Source checked 2026-10-20
Report an updateMedicare and Medicaid · National contact — confirm exact product and location
National · tricare · Source checked 2026-10-25
fax appeals
No phone listed for this route
Fax877-489-0011
Published hours8 AM to 7 PM ET (as published for this submission line)
tricare
National contact — confirm product and location
Allowable charge review (Attn: Customer Service) and claims reconsideration (Attn: Reconsideration request)
TRICARE East Region administrative reviews (allowed-amount disputes, coding, OHI, TPL, timely filing, eligibility denials) and reconsideration after claim edits. Not for formal medical-necessity appeals (see the appeals fax). The page lists the main East phone number for questions.
View source ↗ · Source checked 2026-10-25
Report an updateMedicare and Medicaid · National contact — confirm exact product and location
National · tricare · Source checked 2026-10-25
provider services
tricare
National contact — confirm product and location
Not researched for this route
Dedicated support line listed for ABA / Autism Care Demonstration questions in the TRICARE East Region.
View source ↗ · Source checked 2026-10-25
Report an updateMedicare and Medicaid · National contact — confirm exact product and location
National · tricare · Source checked 2026-10-25
email other
No phone listed for this route
Published emailPublished hoursNot published in this record
tricare
National contact — confirm product and location
Not researched for this route
TRICARE East Region hospitals requesting reimbursement of Capital and Direct Medical Education costs. Subject should carry hospital name, Medicare number and fiscal year. Not for ordinary claims.
View source ↗ · Source checked 2026-10-25
Report an updateMedicare and Medicaid · National contact — confirm exact product and location
National · tricare · Source checked 2026-10-25
case management
tricare
National contact — confirm product and location
Not researched for this route
TRICARE East Region. Providers can refer a complex beneficiary for case management evaluation through provider self-service or by calling this number (handbook).
View source ↗ · Source checked 2026-10-25
Report an updateMedicare and Medicaid · National contact — confirm exact product and location
National · tricare · Source checked 2026-10-25
eligibility benefits
tricare
National contact — confirm product and location
Not researched for this route
Listed under dedicated support lines as DEERS. For beneficiaries whose enrollment/eligibility record in DEERS is wrong or expired; the office cannot fix DEERS records. For eligibility checks use provider self-service or the East main provider line.
View source ↗ · Source checked 2026-10-25
Report an updateMedicare and Medicaid · National contact — confirm exact product and location
National · tricare · Source checked 2026-10-25
fax prior auth
No phone listed for this route
Fax877-378-2316
Published hoursNot published in this record
tricare
National contact — confirm product and location
Not researched for this route
TRICARE East Region. Mental health referral/authorization requests and mental health continued-stay paperwork when electronic submission is not feasible. Handbook also says to fax this line within one business day for certain mental health notifications; read the handbook section before faxing.
View source ↗ · Source checked 2026-10-25
Report an updateMedicare and Medicaid · National contact — confirm exact product and location
National · tricare · Source checked 2026-10-25
fax claims
No phone listed for this route
Fax877-489-0007
Published hoursNot published in this record
tricare
National contact — confirm product and location
Paper new and corrected claims (network providers must file electronically)
TRICARE East Region. EDI payer ID 99727 (place in ISA-08, GS-03, NM1-09 with 40 qualifier). All claims must be filed electronically; fax/paper is the fallback and for supporting documentation. Humana Military accepts HIPAA-compliant e-fax services. One beneficiary per fax.
View source ↗ · Source checked 2026-10-25 · EDI payer ID 99727 and claim filing rules ↗
Report an updateMedicare and Medicaid · National contact — confirm exact product and location
National · tricare · Source checked 2026-10-25
fax appeals
No phone listed for this route
Fax877-850-1046
Published hoursNot published in this record
tricare
National contact — confirm product and location
Prior authorization appeals (preferred method is fax or the secure self-service tool)
TRICARE East Region appeals of referral/prior-authorization denials. Only proper appealing parties may appeal; network providers generally are not proper appealing parties for claim denials. Claim reviews use a different fax.
View source ↗ · Source checked 2026-10-25
Report an updateMedicare and Medicaid · National contact — confirm exact product and location
National · tricare · Source checked 2026-10-25
claims
No phone listed for this route
Published hoursNot published in this record
tricare
National contact — confirm product and location
Completed proactive recoupment form and refund checks
TRICARE East Region. Providers who send claims and receive payment electronically can start an electronic recoupment that offsets a future payment instead of mailing a check.
View source ↗ · Source checked 2026-10-25
Report an updateMedicare and Medicaid · National contact — confirm exact product and location
National · tricare · Source checked 2026-10-25
portal
No phone listed for this route
Published hoursNot published in this record
tricare
National contact — confirm product and location
Not researched for this route
Log-in link on the provider page. Used for eligibility checks, referral/authorization requests, XpressClaims, claim status, remittances and provider roster changes. A CAC or ID card alone does not prove eligibility.
View source ↗ · Source checked 2026-10-25
Report an updateMedicare and Medicaid · National contact — confirm exact product and location
National · tricare · Source checked 2026-10-25
fax prior auth
No phone listed for this route
Fax877-548-1547
Referral/authorization requests when the provider self-service portal cannot be used
Published hoursNot published in this record
tricare
National contact — confirm product and location
Not researched for this route
TRICARE East Region. The handbook says to submit referrals and authorizations through the provider self-service portal and to fax only if electronic submission is not feasible. Not for mental health requests (separate fax) and not for appeals.
View source ↗ · Source checked 2026-10-25
Report an updateMedicare and Medicaid · National contact — confirm exact product and location
National · tricare · Source checked 2026-10-25
fax other
No phone listed for this route
Fax877-489-0041
Published hoursNot published in this record
tricare
National contact — confirm product and location
TPL form (DD 2527) and TPL-requested medical records
TRICARE East Region. Electronic upload through provider self-service is preferred. The page also lists a separate fax for attorney and insurer subrogation or lien cases; that line is not included here.
View source ↗ · Source checked 2026-10-25
Report an updateMedicare and Medicaid · National contact — confirm exact product and location
National · tricare · Source checked 2026-10-25
edi clearinghouse support
tricare
National contact — confirm product and location
Not researched for this route
Handbook: option 2 for TRICARE, then option 2 for EDI/ERA, option 4 for East EFT.
Menus can change. No live call verification is claimed.
PGBA is the claims processor for both TRICARE East and West. EDI trading-partner enrollment, EDI Gateway user manual, ERA and EFT questions. The page itself gives the phone and email; the option sequence is from the East handbook.
View source ↗ · Source checked 2026-10-25 · West Region payer ID 99726 and the same PGBA EDI Help Desk ↗ · Handbook option sequence for EDI/ERA and EFT ↗
Report an updateMedicare and Medicaid · National contact — confirm exact product and location
National · tricare · Source checked 2026-10-20
provider services
tricare
National contact — confirm product and location
Not researched for this route
West Region states only. 888-TRIWEST.
View source ↗ · Source checked 2026-10-20
Report an updateMedicare and Medicaid · National contact — confirm exact product and location
National · tricare · Source checked 2026-10-25
provider services
ACD customer service and eligibility assistance
Fax877-875-9037
Dedicated ACD fax for requests and documents (online referral management system is fastest)
Published emailabaprovidercontracts@triwest.com
Provider Services Contracting for ABA providers
Published hoursNot published in this record
tricare
National contact — confirm product and location
Not researched for this route
TRICARE West Region ABA/ACD providers.
View source ↗ · Source checked 2026-10-25
Report an updateMedicare and Medicaid · National contact — confirm exact product and location
National · tricare · Source checked 2026-10-25
portal
No phone listed for this route
Published hoursNot published in this record
tricare
National contact — confirm product and location
Not researched for this route
Provider portal for TRICARE West; referrals/authorizations are submitted through the Submit Referral/Auth tile in the TRICARE West payer space.
View source ↗ · Source checked 2026-10-25
Report an updateMedicare and Medicaid · National contact — confirm exact product and location
National · tricare · Source checked 2026-10-25
provider services
Monday - Friday, 8 am - 8 pm EST (per West handbook tricare-program page)
tricare
National contact — confirm product and location
Not researched for this route
Availity is the TRICARE West provider portal for referrals, authorizations, claims and eligibility. For access or technical trouble with Availity, not for TRICARE benefit questions.
View source ↗ · Source checked 2026-10-25 · Availity phone with Monday-Friday 8am-8pm EST hours ↗
Report an updateMedicare and Medicaid · National contact — confirm exact product and location
National · tricare · Source checked 2026-10-25
prior authorization
tricare
National contact — confirm product and location
Cancer clinical trial request documentation
TRICARE West Region. Only for Phase I-III cancer clinical trial authorization requests with the listed documentation.
View source ↗ · Source checked 2026-10-25
Report an updateMedicare and Medicaid · National contact — confirm exact product and location
National · tricare · Source checked 2026-10-25
fax appeals
No phone listed for this route
Fax866-670-4330
Published hoursNot published in this record
tricare
National contact — confirm product and location
Written, signed appeal requests
TRICARE West Region. Appealable: policy-limitation denials, not medically necessary, and POS-only emergency claims. Only a proper appealing party (beneficiary, guardian, non-network participating provider, or appointed representative) may appeal; request must be received within 90 days of the remittance.
View source ↗ · Source checked 2026-10-25
Report an updateMedicare and Medicaid · National contact — confirm exact product and location
National · tricare · Source checked 2026-10-25
fax appeals
No phone listed for this route
Fax866-852-1969
Published hoursNot published in this record
tricare
National contact — confirm product and location
Claims reconsideration form and timely filing waiver requests
TRICARE West Region. Reconsideration must be submitted within 90 days of the remittance date. Not a formal appeal.
View source ↗ · Source checked 2026-10-25 · Same fax listed for timely filing waivers ↗
Report an updateMedicare and Medicaid · National contact — confirm exact product and location
National · tricare · Source checked 2026-10-25
provider enrollment credentialing
No phone listed for this route
Published emailPublished hoursNot published in this record
tricare
National contact — confirm product and location
Not researched for this route
TRICARE West Region. Roster template changes and credentialing applications for providers TriWest credentials.
View source ↗ · Source checked 2026-10-25
Report an updateMedicare and Medicaid · National contact — confirm exact product and location
National · tricare · Source checked 2026-10-25
provider enrollment credentialing
No phone listed for this route
Published emailPublished hoursNot published in this record
tricare
National contact — confirm product and location
Not researched for this route
TRICARE West Region. Only for groups with a signed credentialing delegation agreement; monthly roster submissions.
View source ↗ · Source checked 2026-10-25
Report an updateMedicare and Medicaid · National contact — confirm exact product and location
National · tricare · Source checked 2026-10-25
fax claims
No phone listed for this route
Fax877-989-0030
Published hoursNot published in this record
tricare
National contact — confirm product and location
Certificate of Medical Necessity and DME prescription documentation
TRICARE West Region denied or in-process durable medical equipment claims.
View source ↗ · Source checked 2026-10-25
Report an updateMedicare and Medicaid · National contact — confirm exact product and location
National · tricare · Source checked 2026-10-25
case management
tricare
National contact — confirm product and location
Not researched for this route
Dedicated ECHO phone line named in the TriWest handbook; providers call and select the ECHO option to begin ECHO registration.
View source ↗ · Source checked 2026-10-25
Report an update