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Claim Appeals

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As of Jan. 1, 2025, TriWest Healthcare Alliance (TriWest) is the regional contractor for the TRICARE West Region. 

HNFS No Longer Accepting Claim Appeals

Effective May 1, 2025, Health Net Federal Services, LLC (HNFS) can no longer accept claim appeals, even if the claim was denied by HNFS.

Q: I submitted my claim appeal to HNFS by April 30, 2025. Now what?
A:
 We usually respond within 30 days. Please review the information in the appeal determination letter once received. Our Claim Status tool will remain available through June 30.

Q: How do I submit appeals to TriWest?
A: Visit www.tricare.mil/west for details.