Health & Safety

August 29, 2014

Ask the Doc

99th Medical Group

Q: How do I file a medical appeal?
A: To file a medical appeal, follow the instructions on your explanation of benefits or determination letter for your denied claim. Send your appeal to your regional contractor. See below for the address.
Claims Appeals:
North Region
Health Net Federal Services, LLC.
TRICARE Claim Appeals
P.O. Box 105266
Atlanta, GA 30348
South Region
TRICARE South Region Appeals
P.O. Box 202002
Florence, SC  29502
West Region
TRICARE West Region
Appeals Department
P.O. Box 105493
Atlanta, GA  30348
P.O. Box 7890
Madison, WI 53707-7890
Authorization Appeals:
North Region
Health Net Federal Services, LLC.
TRICARE Authorization Appeals
P.O. Box 105087
Atlanta, GA  30348
South Region
Humana Military
ATTN: Utilization Management
P.O. Box 740044
Louisville, KY  40201
West Region
TRICARE West Region
Appeals Department
P.O. Box 105493
Atlanta, GA 30348
TRICARE Overseas Program
TRICARE Overseas Program
Claims Appeals
P.O. Box 7992
Madison, WI  53707
P.O. Box 7890
Madison, WI 53707-7890
Your appeal must be postmarked or received by your regional contractor within 90-calendar days from the date on your EOB or determination letter. For more information, download the TRICARE Appeals Fact Sheet on from the
For issues that can’t be appealed such as concerns with the quality of health care you received, complaints about a provider or facility behaving inappropriately, etc. you may file a grievance.
Mail written notice of your grievance to the appropriate contractor and be sure to include the following:
• Your name, address and telephone number
• Your Sponsor’s Social Security number
• Your date of birth
• Your signature
• A description of the issue or concern that must include:
•  Date and time of the event
•  Name of the provider(s) and/or person(s) involved
•  Location of the event [address]
•  The nature of the concern or complaint
•   Details describing the event or issue
•  Any appropriate supporting documents
Note: If you are filing a grievance on behalf of a dependent, provide the dependent’s information, as well as your own in the grievance.
Contact Information
North Region Contractor, Health Net
1-877-TRICARE, 1-877-874-2273
South Region Contractor, Humana Military
West Region Contractor, UnitedHealthcare
1-877-988-WEST, 1-877-988-9378
TRICARE Eurasia-Africa Regional Call Center
Commercial: +44-20-8762-8384
Toll-free from the U.S.: 1-877-678-1207
TRICARE Latin America & Canada Regional Call Center
Commercial: 1-214-942-8393
Toll-free from the U.S.: 1-877-451-8659
TRICARE Pacific Regional Call Center
Commercial: Singapore: +65-6339-2676; Sidney: +61-2-9273-2710
Toll-free from the U.S.: Singapore: 1-877-678-1208; Sidney: 1-877-678-1209
TFL Overseas Contractor, International SOS
Country-Specific Toll-Free Numbers
TFL Contractor, Wisconsin Physicians Service
US Family Health Plan
1-800-74-USFHP, 1-800-748-7347

Send your questions to


Send your questions to

All of this week's top headlines to your email every Friday.


U.S. Air Force photo by Senior Airman Thomas Spangler

40 years of Red Flag ends on high note

U.S. Air Force photo by Senior Airman Thomas Spangler A C-17 Globemaster III assigned to the 437th Airlift Wing, Charleston Air Force Base, S.C., flies to the Nevada Test and Training Range during Red Flag 15-4, Aug. 25. With a...

Never underestimate your impact

INCIRLIK AIR BASE, Turkey — Every day I visit our great Airmen and every day I come across more than one that underestimates their impact to the mission. There’s the one-stripe maintainer, “just repaneling an aircraft,” for the next day’s flight, or the young personalist, “just issuing another identification card,” or the defender, “just guarding...

Challenge yourself: Never give up, never quit

FAIRCHILD AIR FORCE BASE, Wash. — I once read that newly created cells in our bodies do one of two things: they either begin to decay or they become more vital. These cells choose their path based on what we demand of them. If we are sedentary, our brains signal our cells to decay; but...


SECDEF visits Nellis

U.S. Air Force photo by Lawrence Crespo U.S. Secretary of Defense Ash Carter speaks with Airmen from Nellis and Creech Air Force Bases during an all-call at the Lightning Aircraft Maintenance Unit hangar on Nellis AFB, Nev., Aug. 26. Carter’s department is responsible for policy development, planning, resource management, fiscal, and program evaluations for the...

Air Force extends SAPR services to AF civilians

WASHINGTON — The Air Force released a policy memo today allowing Air Force civilian employees who are victims of sexual assault to file restricted and unrestricted reports with their installation’s sexual assault response coordinator. The policy is effective immediately and allows SARCs and sexual assault prevention and response victim advocates to assist Air Force civilians...

TRICARE pharmacy rules changing for maintenance, brand-name drugs

WASHINGTON — TRICARE beneficiaries who take certain brand-name medications on a regular basis will be required to fill prescriptions at a military treatment facility or through a mail-in program beginning Oct. 1, a Defense Health Agency official said here Aug. 20. George Jones, DHA’s pharmacy operations division chief, said the new policy does not apply...


Be the first to comment!

Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <s> <strike> <strong>