You can file a factual appealThe action you take if you don’t agree with a decision made about your benefit. when TRICARE:
Send a letter to your contractor's address. Make sure the postmark is within 90 days of the date on the explanation of benefits (EOB) or other decision.
Your contractor will review your appeal and send you an appeal decision.
The Defense Health Agency reviews and issues a formal review decision.
The independent hearing takes place at a location convenient to both the requesting party and the government.
Last Updated 12/1/2016
Defense Health Agency
Appeals, Hearings and Claims Collection Division
16401 E. Centretech Parkway
Aurora, CO 80011-9066
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