GOVERNMENT AGENTS

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Contact Information Faxgate Numbers

Claims & Customer Service

PGBA, LLC

PO Box 870140

Surfside Beach, SC  29587-9740

1-877-TRICARE (1-877-874-2273)

Hours of operation are Monday- Friday

7:00 a.m. to 7:00 p.m. EST

 

TRICARE Retail Pharmacy (TRRx)

1-877-363-1303

Express Scripts, Inc (ESI)

 

myTRICARE Web Help Desk

(Registration, Passwords & XPressClaim)        

1-877-698-7422

Hours of operation are Monday- Friday

8:00 a.m. to 6:00 p.m. EST

 

EDI Help Desk

1-877-334-2524

Hours of operation are Monday- Friday

8:00 a.m. to 5:00 p.m. EST

 

Correspondence

PGBA, LLC

PO Box 870141

Surfside Beach, SC  29587-9741

 

 

 

 

 

 

 

 

 

 

 

 

Authorization/Referrals 

888-299-4181

 

Authorization Appeals

888-881-3622

 

Grievances

888-317-6155

 

Routine Correspondence

888-432-7077

 

Third Party Liability Forms

888-228-2717

 

Other Health Insurance Updates

888-237-6262

 

IEP/Physician Orders

888-224-3232   

 

Legal Documents

888-225-3545

 

Claims Appeals

888-458-2554

 

Durable Medical Equipment(DME)

888-377-4191

 

Non-network PDM Demographic Updates

888-250-4355

 

Network PDM Demographic Updates

888-244-4025

 

PGBA Program Integrity

844-782-9207

 

   

 

Please note: For providers who want to fax information for multiple patients, please use a fax separator sheet between each patient's correspondence. Please do not use photocopies of the fax separator sheet.

 

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