PROVIDERS

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Contact Us


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) 

 

 

EDI & XPressClaim

1-877-EDI-CLAIM (1-877-334-2524)

 

Web (registration, passwords,

myTRICARE News)

1-877-698-7422

 

Correspondence
PGBA, LLC
PO Box 870141

Surfside Beach, SC  29587-9741

  

Faxgate numbers:

Authorization/Referrals  

888-299-4181
Authorization Appeals 

888-881-3622

Clinical QM (Grievances) 

888-317-6155

Routine Correspondence

888-432-7077

PM Network Contracts

888-244-4025

PGBA PM Non-Network Contracts

888-250-4355

Third Party Liability Forms

888-228-2717

IEP/Physician Orders

888-536-2324    

Legal Documents

888-225-3545

Claim 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: If you 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 the Adobe Acrobat Reader.

  • If you need help with any problems using your computer on this Web site, contact technical help.
  • For a quick response to questions about claims and benefits, please use the AskUs feature in myTRICARE Secure to send a private, secure e-mail to a customer service representative. Please note: you must be a registered member of myTRICARE.com.
  • If you live in the West Region, please go to www.triwest.com. For TRICARE for Life, go to www.tricare4u.com.
                                                                                     

 



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