Welcome

Mailing Addresses/Fax Numbers

Claims

TRICARE West Claims Submission
Health Net Federal Services, LLC
c/o PGBA, LLC/TRICARE
PO Box 202112
Florence, SC 29502-2112

Fax: 1-844-869-2504

Routine Correspondence
c/o PGBA, LLC/TRICARE
PO Box 202100
Florence, SC 29502-2102

Fax: 1-844-869-2812

Claims Adjustments/Allowable Charge Review
Health Net Federal Services, LLC
c/o PGBA, LLC/TRICARE
Allowable Charge Review
PO Box 202100
Florence, SC 29502-2100

Other Health Insurance Questionnaire
TRICARE West - OHI Questionnaire
PO Box 202102
Florence, SC 29502-2102

Fax: 1-888-237-6262

Electronic Funds Transfer (EFT) 
TRICARE West Region
EFT/ERA Enrollment
PO Box 202109
Florence, SC 29502-2109

Fax: 1-844-730-1369

Electronic Remittance Advice (ERA)
PGBA, LLC/TRICARE Electronic Data Interchange
PO Box 17150
Augusta, GA 30903

Fax: (803) 264-9864

TRICARE Pharmacy Claims 
Express Scripts
PO Box 52132
Phoenix, AZ 85072

Out-of-Region Claims
TRICARE East Region Claims
PO Box 7981
Madison, WI 53707-7981

Enrollment

TRICARE Prime, TRICARE Prime Remote/TRICARE Prime Remote for Active Duty Family Members, TRICARE Select (enrollment forms)
Health Net Federal Services, LLC
PO Box 8458
Virginia Beach, VA 23450-8458

Fax: 1-844-388-8282

TRICARE Reserve Select/TRICARE Retired Reserve/TRICARE Young Adult (enrollment forms)
Health Net Federal Services, LLC
PO Box 9028
Virginia Beach, VA 23450-9028

Fax: 1-844-388-8282

Enrollment Payment Method Changes
Health Net Federal Services, LLC
PO Box 8608
Virginia Beach, VA 23450-8608

Fax: 1-844-785-2604

Provider Services

Network Participation Agreement Packet
Health Net Federal Services, LLC/TRICARE
PO Box 9410
Virginia Beach, VA 23450-9410

Provider Information Form
Fax: 1-844-224-0381

Network Provider Updates 
(including NPI changes)
Fax: 1-844-836-5818

Mental Health Network Provider Updates
Fax: 1-855-811-7033

Non-Network Provider Updates 
(including NPI changes)
Fax: 1-844-730-1373

Appeals and Grievances

Authorizations Appeals
Health Net Federal Services, LLC
TRICARE West Authorization Appeals
PO Box 2219
Virginia Beach, VA 23450-2219

Fax: 1-844-769-8007

Claims Appeals
Health Net Federal Services, LLC
TRICARE West Claims Appeals
PO Box 8008
Virginia Beach, VA 23450-8008

Fax: 1-844-802-2527

Grievances
Health Net Federal Services, LLC
Attn: Grievances
PO Box 8128
Virginia Beach, VA 23450-8128

Fax: 1-844-802-2531

Fraud and Abuse

Program Integrity
Health Net Federal Services, LLC
Attn: Program Integrity
PO Box 10310
Virginia Beach, VA 23450-10310

Fax: 1-844-734-1266

Case Management

Case Management DOMA
PO Box 9528
Virginia Beach, VA 23450-9528

Fax: 1-888-965-8438

Privacy

Authorization to Disclose
TRICARE Legal Documents
PO Box 8818
Virginia Beach, VA 23450-8818

Fax: 1-844-308-8877

TRICARE For Life

TFL Customer Service
Wisconsin Physicians Service (WPS)
TRICARE For Life
PO Box 7889
Madison, WI 53707-7889

TFL Claims Submission
Wisconsin Physicians Service (WPS)
TRICARE For Life
PO Box 7890
Madison, WI 53707-7890

TFL Overseas Claims
TRICARE Europe (Europe, Africa, Middle East)
Wisconsin Physicians Service (WPS)
PO Box 8976
Madison, WI 53708-8976

TRICARE Overseas

Active Duty Service Members
TRICARE Overseas Active Duty
PO Box 7968
Madison, WI 53707-7968

Non-Active Duty Service Members
TRICARE Eurasia-Africa
TRICARE Overseas
PO Box 8976
Madison, WI 53707-8976

Non-Active Duty Service Members
TRICARE Latin America/Canada/Pacific/Puerto Rico/Virgin Islands
TRICARE Overseas
PO Box 7985
Madison, WI 53707-7985