Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.
fax appeals
East Region (Humana Military) — Prior authorization appeals fax and mail
Official page read
Phone
No phone listed for this route
Fax
877-850-1046
Published hours
Not published in this record
Product, plan and location
tricare National contact — confirm product and location
Mailing addressHumana Military Appeals
PO Box 740044
Louisville, KY 40201-7444
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.
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.
West Region (TriWest) — Claims formal appeals fax and mail
Official page read
Phone
No phone listed for this route
Fax
866-670-4330
Published hours
Not published in this record
Product, plan and location
tricare National contact — confirm product and location
Mailing addressTRICARE West Claims Appeals
P.O. Box 2777
Virginia Beach, VA 23450
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.
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Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.
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Denial notice, remittance and reason codes
Previous appeal confirmation and decision
Supporting evidence and any required authorization to represent the member
Questions to resolve
Is this a claim correction, provider dispute or member appeal?
What deadline and submission channel apply to this case?
How can the office confirm receipt and track the decision?
This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.
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