Appeals Addresses
Office/Contractor | Appeals Address |
---|---|
Defense Health Agency |
Defense Health Agency |
East RegionUnder the new regional contracts, the East Region is a merger of the North and South Regions and includes: Alabama, Arkansas, Connecticut, Delaware, the District of Columbia, Florida, Georgia, Illinois, Indiana, Iowa (Rock Island area), Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Mississippi, Missouri (St. Louis area), New Hampshire, New Jersey, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas (excluding El Paso area), Vermont, Virginia, West Virginia, and Wisconsin. |
Prior Authorization Appeals |
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. |
Health Net Federal Services, LLC Fax: 1-844-802-2527 |
Overseas |
International SOS Assistance, Inc. |
TRICARE For Life (U.S. & Territories) |
U.S. and U.S. Territories: All Other Overseas Areas: Email: TOPGlobalQualityAssu@internationalsos.com |
Pharmacy |
Express Scripts, Inc. |
Last Updated 5/17/2019