GOVERNMENT AGENTS

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Mailing & phone contacts:

Claims
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) 

 

 

Web (registration & passwords)

1-877-698-7422
Hours of operation are Monday- Friday

8:00 a.m. to 7:00 p.m. EST

 

Provider EDI & XPressClaim 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

 

Faxgate numbers:

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

888-536-2324    

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

 

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

 

To download and print the bar code sheet, you will need Adobe® Reader®.

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