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TRICARE West Region fax number

(877) 989-0262

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TRICARE West - Third Party Liability (TPL)

Used for: Submission of medical records to PGBA for TRICARE West Region Third Party Liability (TPL) denials; use this fax to send medical documentation to PGBA (TRICARE West-TPL).

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Fax destination details

Department
TRICARE West - Third Party Liability (TPL)
Purpose
Submission of medical records to PGBA for TRICARE West Region Third Party Liability (TPL) denials; use this fax to send medical documentation to PGBA (TRICARE West-TPL).
Form
Cover Sheet — Cover Sheet for Submitting Medical Records to PGBA
Address
PO Box 202170, Florence, SC 29502
Voice phone
+1-888-874-9378
Website
Visit organization website

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