Through April 30, 2025
TRICARE West Claims Submission
Health Net Federal Services, LLC
c/o PGBA, LLC/TRICARE
P.O. Box 202112
Florence, SC 29502-2112
Fax: 1-844-869-2504
Routine Correspondence
Health Net Federal Services, LLC
c/o PGBA, LLC/TRICARE
P.O. 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
P.O. Box 202100
Florence, SC 29502-2100
Fax: 1-844-869-2812
Good Faith Payment Reviews
Health Net Federal Services, LLC
TRICARE West – Priority Correspondence
P.O. Box 202101
Florence, SC 29502-2101
Fax: 1-844-869-2811
Claims Appeals
Health Net Federal Services, LLC
TRICARE West Claims Appeals
P.O. Box 8008
Virginia Beach, VA 23450-8008
Fax: 1-844-802-2527
Grievances
Health Net Federal Services, LLC
Attn: Grievances
P.O. Box 8128
Virginia Beach, VA 23450-8128
Fax: 1-844-802-2531
Through May 15, 2025
Electronic Funds Transfer (EFT)
TRICARE West Region
EFT Enrollment
Email: WRVerification@hnfs.com
Through June 30, 2025
Other Health Insurance Questionnaire
TRICARE West - OHI Questionnaire
P.O. Box 202102
Florence, SC 29502-2102
Fax: 1-844-730-1372
Third Party Liability (TPL) Correspondence
TRICARE West - TPL Correspondence
P.O. Box 202103
Florence, SC 29502-2103
Fax: 1-844-869-2813
Claim Recoupments/Refunds
Health Net Federal Services, LLC
c/o PGBA, LLC TRICARE Refunds
Attention: TRICARE West Region
P.O. Box 202111
Florence, SC 29502-2111