TRICARE (Humana Military East / TriWest West)

Records, fax and other contacts

Find other published document channels. Confirm the department and purpose before sending any records.

fax other

East Region (Humana Military) — Third party liability (TPL) form and records fax

Official page read
Phone

No phone listed for this route

Fax

877-489-0041

Published hours

Not published in this record

Product, plan and location

tricare
National contact — confirm product and location

Mailing address
TRICARE East Region Attn: Third Party Liability (TPL) PO Box 202152 Florence, SC 29502-2152

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

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email other

East Region (Humana Military) — CAP DME reimbursement requests (hospitals)

Official page read
Phone

No phone listed for this route

Published email

t5east.capdme@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

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

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West Region (TriWest) — TPL supporting medical records fax

Official page read
Phone

No phone listed for this route

Fax

877-989-0262

Published hours

Not published in this record

Product, plan and location

tricare
National contact — confirm product and location

Mailing address
TRICARE West-TPL P.O. Box 202170 Florence, SC 29502

Medical records to support a claim denied for lack of a TPL form

TRICARE West Region. Same fax is also listed for the beneficiary OHI questionnaire.

View source ↗ · Source checked 2026-10-25

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fax other

West Region (TriWest) — W-9 / tax record change fax

Official page read
Phone

No phone listed for this route

Fax

877-989-0333

Published hours

Not published in this record

Product, plan and location

tricare
National contact — confirm product and location

Mailing address
TRICARE West-1099 P.O. Box 202173 Florence, SC 29502

W-9 to change a tax record

TRICARE West Region.

View source ↗ · Source checked 2026-10-25

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Find other published document channels. Confirm the department and purpose before sending any records.

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  • How is receipt confirmed?

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