DialClerk Directory

TRICARE (Humana Military East / TriWest West)

Provider portals and EDI

Find technical support for portal access and electronic transactions. Clearinghouse acceptance is separate from payer claim acceptance.

edi clearinghouse support

TRICARE East and West — PGBA EDI Help Desk (East payer ID 99727, West payer ID 99726)

Official page read
Phone800-259-0264Published email

EDI.TRICARE@PGBA.com

Published hours

Not published in this record

Product, plan and location

tricare
National contact — confirm product and location

Mailing address

Not researched for this route

Menu guidance in the source record

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 ↗

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

portal

East Region (Humana Military) — Provider self-service portal (eligibility, referrals, authorizations, claims)

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

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

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edi clearinghouse support

West Region (TriWest) — EFT/ERA enrollment forms (PGBA)

Official page read
Phone

No phone listed for this route

Fax

877-989-0032

Published email

TRT5EFT@PGBA.com

Published hours

Not published in this record

Product, plan and location

tricare
National contact — confirm product and location

Mailing address
T-5 TRICARE West Region P.O. Box 202161 Florence, SC 29502

Paper EFT/ERA enrollment package

TRICARE West Region. Electronic enrollment through Availity is preferred; this is the paper fallback.

View source ↗ · Source checked 2026-10-25

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portal

West Region (TriWest) — Availity provider portal (referral management, claims, eligibility)

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

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

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Call preparation · editorial guide

Make the call count.

Find technical support for portal access and electronic transactions. Clearinghouse acceptance is separate from payer claim acceptance.

Have ready in your secure workspace

  • Portal name or transaction type
  • Error code and timestamp without patient data
  • Account administrator and transaction trace reference

Questions to resolve

  • Is this a portal permission, clearinghouse or payer issue?
  • What trace identifier is needed through the secure support channel?
  • How will the office confirm the issue is resolved?

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

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