TRICARE (Humana Military East / TriWest West)

Claims and claim status

Find claim-status contacts and document destinations. A billing address, appeal address and original-claim address are not interchangeable.

fax claims

East Region (Humana Military) — New and corrected claims fax and mail (PGBA)

Official page read
Phone

No phone listed for this route

Fax

877-489-0007

Published hours

Not published in this record

Product, plan and location

tricare
National contact — confirm product and location

Mailing address
TRICARE East Region Claims Attn: New Claims (or Attn: Corrected Claims) PO Box 202146 Florence, SC 29502-2146

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.

claims

East Region (Humana Military) — Provider refunds and recoupments mail (proactive recoupment form)

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

tricare
National contact — confirm product and location

Mailing address
General Correspondence PO Box 202147 Florence, SC 29502-2147

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

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fax claims

West Region (TriWest) — Paper claims fax and mail (PGBA, Florence SC)

Official page read
Phone

No phone listed for this route

Fax

877-989-0070

Published hours

Not published in this record

Product, plan and location

tricare
National contact — confirm product and location

Mailing address
TRICARE West Claims P.O. Box 202160 Florence, SC 29502-2160

CMS-1500 or UB-04 paper claims

TRICARE West Region. Network providers must submit electronically (Alaska exempt). EDI payer ID 99726. Claims status in Availity.

fax claims

West Region (TriWest) — Medical records for denied claims (PGBA Med Recs)

Official page read
Phone

No phone listed for this route

Fax

877-989-0047

Published hours

Not published in this record

Product, plan and location

tricare
National contact — confirm product and location

Mailing address
TRICARE West-Med Recs P.O. Box 202165 Florence, SC 29502

Supporting medical documentation for a denied claim

TRICARE West Region. Use XpressClaim in the TRICARE payer space in Availity first; this fax is for the Medical Record Request cover sheet and records.

fax claims

West Region (TriWest) — DME claim documentation (CMN, prescriptions, breastfeeding supplies)

Official page read
Phone

No phone listed for this route

Fax

877-989-0030

Published hours

Not published in this record

Product, plan and location

tricare
National contact — confirm product and location

Mailing address
TRICARE West-DME P.O. Box 202167 Florence, SC 29502

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

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Call preparation · editorial guide

Make the call count.

Find claim-status contacts and document destinations. A billing address, appeal address and original-claim address are not interchangeable.

Have ready in your secure workspace

  • Claim number, service dates and billed amount
  • Submission acknowledgement and remittance
  • Provider billing identifiers

Questions to resolve

  • Was the claim received and accepted for processing?
  • What specifically prevents payment or final processing?
  • Is a corrected claim, reconsideration or appeal the right route?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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