North Region

Grievances Regarding a North Region Provider or Health Net

You can submit your grievance online or print the Grievance Form.

This document is used to send in a written complaint or concern about issues that cannot be appealed, such as access to care or quality of care. The grievance may be against any member of your health care team, including your TRICARE doctor, Health Net or a Health Net subcontractor.

If you print the form, return it to:

Health Net Federal Services, LLC
Attn: Grievances
P.O. Box 105338
Atlanta, GA 30348-5338

Fax: 1-888-317-6155

Claims-Related Grievances

Contact PGBA:

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

Online: www.mytricare.com

Mail: PGBA-Claims Correspondence
P.O. Box 870141
Surfside Beach, SC 29587-9741

Last Updated 4/17/2014