Denied Claims

A claim may be denied for several reasons. Many times it's a simple error that you (if you submitted the claim) or your provider made when submitting the claim. See Claim Filing Tips for a list of common mistakes.

  • If your claim is unpaid or denied, contact your claims processor. See the right side of page for contact information. 
  • If your claim was denied because of incorrect filing, correct the error and resubmit the claim to your claims processor. 
  • If you believe your claim was inappropriately denied, in whole or in part, you or another appropriate party may file an appeal

For help at any time, please contact your claims processor.

Last Updated 3/24/2016

contact Your Contacts
Pharmacy Claims

Express-Scripts, Inc.
Stateside: 1-877-363-1303
Overseas: 1-866-275-4732
(where toll-free service is established)

Express Scripts Website


Send Claims To:

TRICARE North RegionConnecticut, Delaware, the District of Columbia, Illinois, Indiana, Iowa (Rock Island area), Kentucky (except Fort Campbell), Maine, Maryland, Massachusetts, Michigan, Missouri (St. Louis area), New Hampshire, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, Vermont, Virginia, West Virginia, and Wisconsin. Claims
Health Net Federal Services
c/o PGBA, LLC/TRICARE
P.O. Box 870140
Surfside Beach, SC 29587-9740

Check Claim Status


Send Claims To:

TRICARE South RegionAlabama, Arkansas, Florida, Georgia, Louisiana, Mississippi, Oklahoma, South Carolina, Tennessee, Texas (excluding El Paso area), and Fort Campbell, Kentucky Claims Department
P.O. Box 7031
Camden, SC 29021-7031

Check Claim Status


Send Claims To:
TRICARE West RegionAlaska, Arizona, California, Colorado, Hawaii, Idaho, Iowa (excludes Rock Island arsenal area), Kansas, Minnesota, Missouri (except St. Louis area), Montana, Nebraska, Nevada, New Mexico, North Dakota, Oregon, South Dakota, Texas (southwestern corner including El Paso), Utah, Washington and Wyoming.
Claims Department
P.O. Box 7064
Camden, SC  29021-7064

Check Claim Status


Filing TRICARE For Life Claims

(In the U.S. & U.S. Territories)

WPS TRICARE For Life
P.O. Box 7890
Madison, WI 53707-7890

Check Claim Status


Overseas Claims Assistance

International SOS
1-877-451-8659

Check Claims Status


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