Humana Military TRICARE East: Contact, Claims & Login Guide

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Humana Military TRICARE East: Contact, Claims and Login Guide

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Humana Military administers the TRICARE East Region under a contract with the Defense Health Agency. The main contact number is 1-800-444-5445. Beneficiaries can log in to the Humana Military portal to view claims, check referral status, and manage health care. Claims must be filed within one year of the service date. The TRICARE East Region covers 30 states and the District of Columbia, serving approximately 6 million beneficiaries.

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Quick Facts

ItemDetails
BenefitTRICARE health coverage for active duty, retirees, Guard/Reserve, and families in the East Region
EligibilityActive duty, retirees, Guard/Reserve (when activated), survivors, certain former spouses, and family members registered in DEERS
ApplicationEnroll through milConnect (BWE) or by calling Humana Military at 1-800-444-5445
Processing TimeClaims: median 1 day for behavioral health, 9.06 days average overall; 98% within 30 days
Official AgencyDefense Health Agency (DHA); administered by Humana Military
Required FormsDD Form 2642 (paper claim); enrollment forms through BWE
Updated For2026 TRICARE East Region operations and T-5 contract

What Is Humana Military TRICARE East?

Humana Military is the regional contractor that administers the TRICARE East Region for the Defense Health Agency. TRICARE is the health care program of the U.S. Department of Defense, providing civilian health benefits to approximately 9.6 million eligible beneficiaries worldwide. The East Region covers 30 states and the District of Columbia, with approximately 6.1 million beneficiaries as of the T-5 contract transition in 2025.

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Helpful information about VA benefits, disability, healthcare and services for veterans.

What it is: Humana Military handles provider networks, claims processing, referrals, authorizations, and customer service for TRICARE beneficiaries living in the East Region. When you call TRICARE East, you reach Humana Military.

Who qualifies: Active duty service members, active duty family members, retired service members and their families, National Guard and Reserve members (when activated or under certain statuses), survivors of deceased service members, and certain former spouses who meet specific eligibility criteria.

Why it matters: Your regional contractor determines your network of approved providers, the authorization procedures for care, and the claims processing pathway. Every interaction regarding referrals, prior authorization, and benefit questions routes through Humana Military’s systems and customer service lines.

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What you should do next: Verify you are in the TRICARE East Region by entering your ZIP code at tricare.mil/regions. If you are in the East Region, save the Humana Military contact information below.

TRICARE East Region: States Covered

The TRICARE East Region includes 30 states and the District of Columbia as of the 2025 T-5 contract transition. Six states moved from the East Region to the West Region on January 1, 2025: Arkansas, Illinois, Louisiana, Oklahoma, Texas, and Wisconsin. Portions of these states remain in the East Region depending on ZIP code.

RegionStates Included
East RegionAlabama, Connecticut, Delaware, District of Columbia, Florida, Georgia, Indiana, Iowa (Rock Island Arsenal area only), Kentucky, Maine, Maryland, Massachusetts, Michigan, Mississippi, Missouri (St. Louis and southeastern Boetheler areas only), New Hampshire, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, South Carolina, Tennessee, Vermont, Virginia, West Virginia
West RegionArkansas, Illinois, Louisiana, Oklahoma, Texas, Wisconsin (plus Alaska, Arizona, California, Colorado, Hawaii, Idaho, Iowa (except Rock Island), Kansas, Minnesota, Missouri (except St. Louis area), Montana, Nebraska, Nevada, New Mexico, North Dakota, Oregon, South Dakota, Utah, Washington, Wyoming)
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Source: TRICARE East Region provider handbook, 2025

Important: Some ZIP codes in states that moved to the West Region may still be in the East Region. Always verify your region by entering your ZIP code at tricare.mil/regions.[reference:5]

Humana Military TRICARE East Contact Information

Humana Military is the primary point of contact for all TRICARE East beneficiary needs. The main customer service number is 1-800-444-5445. Representatives are available Monday through Friday, 8 a.m. to 6 p.m. in both Central and Eastern time zones.

Key Contact Numbers

PurposeContact
Main customer service1-800-444-5445
Claims submission (fax)877-489-0007
Provider phone1-800-444-5445
Government self-service1-800-334-4817 (8 a.m.–6 p.m. ET, M–F)
Warrior Navigation and Assistance Program1-888-4GO-WNAP (1-888-446-9627)
DEERS Support Office1-800-538-9552
TRICARE Pharmacy (Express Scripts)877-363-1303
TRICARE Active Duty Dental Program866-984-2337 (CONUS)
TRICARE Dental Program844-653-4061 (CONUS)
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Source: TRICARE.mil contact wallet card, 2025–2026

Claims Mailing Address

All paper claims and supporting documentation for TRICARE East should be mailed to:

TRICARE East Region: New Claims
P.O. Box 202146
Florence, SC 29502-2146

Fax: 877-489-0007

Source: Humana Military claims submission page

Email Contact

For mobile app support: hmmobiledevelopers@humanamilitary.com

Source: TRICARE East App listing

How to Submit a TRICARE East Claim

Claims for TRICARE East benefits must be filed with Humana Military no later than one year after the date the services were provided. This timely filing guideline does not apply if the beneficiary is an active duty service member on the date of service.

Step-by-Step Claim Submission

  1. Confirm the provider is TRICARE-authorized. If you see a provider who is not eligible for TRICARE authorization, you will be responsible for the full cost of care.

  2. Gather your documentation. You will need the completed claim form (DD Form 2642), itemized bills, and any supporting documentation.

  3. Submit the claim by mail or fax. Claims cannot be filed digitally for TRICARE East — you must file via mail or fax. However, you can check claim status online after submission.

  4. Mail to: TRICARE East Region: New Claims, P.O. Box 202146, Florence, SC 29502-2146

  5. Fax to: 877-489-0007

  6. Track your claim online. Register at the Humana Military beneficiary portal to check the status of your claims and view your Explanation of Benefits (EOB).

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Timely Filing Exceptions

The one-year filing deadline does not apply in the following cases:

  • Claims regarding a retroactive eligibility/preauthorization determination

  • Administrative error by the contractor

  • Inability to communicate or mental incompetency without an appointed legal guardian on the date of service

  • Delayed adjudication by a primary insurance

  • Dual eligibility with Medicare where Medicare accepted the claim as timely

In these instances, TRICARE East may consider payment for services received during the six years immediately preceding the request. Services claimed for more than six years before the request will be denied.

Claims Processing Time

Claim TypeProcessing Time
Behavioral health claimsMedian 1 day; 84% within 30 days
Overall average9.06 days
Contractual requirement98% of claims within 30 days
Electronic claims (provider)7–14 days average
Paper claims (provider)Up to 30 days
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Source: GAO-25-107484 and DHA reports

How to Log In to the Humana Military Beneficiary Portal

The Humana Military beneficiary portal allows you to view claims, check referral and authorization status, verify eligibility, view your Explanation of Benefits (EOB), and manage your TRICARE health care online.

How to Register for an Account

  1. Go to www.tricare.mil/east or www.humanamilitary.com.

  2. Select “Log in” or “Register for an account.”

  3. Review the privacy information on the next screen.

  4. Create your user ID and password.

  5. Complete the registration process with your DEERS information.

Source: Humana Military Beneficiary Self-Service Guide

What You Can Do in the Portal

  • Check referral or authorization status

  • Verify eligibility

  • View claims and check their status

  • View billing summaries

  • View Explanation of Benefits (EOBs)

  • Make payments

  • View payment history

  • Find network providers

  • View your Primary Care Manager (PCM) information

  • Check your deductible and cap

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Source: Humana Military self-service documentation

TRICARE East Mobile App

The TRICARE East mobile app allows you to manage your health care on the go. The app is available for free on the Google Play Store and Apple App Store. It allows you to view claim details, referral and authorization status, provider information, and associated dates. You can also view eligibility, PCM information, deductible, and make payments.

Login Changes: myAuth Transition

The Defense Health Agency is transitioning TRICARE logins to a new platform called myAuth by the end of 2026. This replaces the legacy DS Logon system. Users will sign in using a username and password plus a secure multi-factor authentication method. Humana Military’s TRICARE East portal is included in this transition.

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TRICARE East Provider Network

Humana Military maintains the TRICARE East provider network and directory. The network provider directory is continuously updated as new providers join. Beneficiaries in the East Region can use the same Humana Military provider directory that has been in place, as Humana Military remains the regional contractor under the T-5 contract.

How to Find a TRICARE East Provider

  1. Use the Find a Doctor tool at tricare.mil/findaprovider.

  2. Search by specialty, location, or provider name.

  3. Verify the provider is TRICARE-authorized before scheduling.

  4. Check if the provider is in-network for your TRICARE plan (Prime or Select).

Inviting a Provider to Become TRICARE-Authorized

If you want to see a provider who does not currently accept TRICARE, you can print a handout from TRICARE.mil and give it to the provider. The handout explains the benefits of being a TRICARE-authorized provider and the authorization process. Most providers with a valid professional license can become TRICARE-authorized.

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Important: Providers do not have to join the TRICARE network to see TRICARE beneficiaries, but they must become TRICARE-authorized. If you see a provider who is not eligible for TRICARE authorization, you will be responsible for the full cost of care.

TRICARE East Plan Options

TRICARE East beneficiaries can choose from several health plan options. The plan you are enrolled in determines your cost share, referral requirements, and whether you must use network providers.

PlanEligible PopulationNetwork RequirementReferral Required?
TRICARE PrimeActive duty, retirees, and families who enrollMust use network providersYes — PCM referral + authorization
TRICARE SelectRetirees and family members who choose SelectNetwork preferred; out-of-network available at higher costNo referral; prior authorization still required
TRICARE For Life (TFL)Medicare-eligible retirees (65+) with Part A & BMedicare providersNo referral; Medicare rules apply
TRICARE Prime RemoteActive duty and families living in remote areasMust use network providersYes — PCM referral
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Source: BrightStar Care TRICARE plan comparison and TRICARE.mil

What you should do next: If you need to change your TRICARE plan, the TRICARE Open Season runs from November 11 through December 9 each year. You can make changes through Beneficiary Web Enrollment (BWE) at milConnect or by calling Humana Military at 1-800-444-5445.

TRICARE East Region Changes: 2025 T-5 Contract

The TRICARE Fifth Generation (T-5) contracts began health care delivery on January 1, 2025. Humana Military continues as the TRICARE East Region contractor under an 8-year contract running through 2032.

Key Changes

  • Six states moved from East to West: Arkansas, Illinois, Louisiana, Oklahoma, Texas, and Wisconsin transferred to the West Region. Approximately 1.1 million beneficiaries were impacted. Portions of these states remain in the East Region depending on ZIP code.

  • TriWest became the West Region contractor, replacing Health Net Federal Services.

  • Claims processor changed: Humana Military’s claims processor is now PGBA LLC. The 2025 TRICARE East Payer ID is 99727.

  • Referrals transfer when beneficiaries move: Referrals now go with patients when they PCS or move, both intra-region and cross-region. New MTFs review to determine if they have capability and capacity.

  • Copays and cost shares did not change due to the new contracts.

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What you should do next: If you moved from a state that transferred to the West Region, confirm your TRICARE region at tricare.mil/regions. Keep your address, email, and phone number up to date in DEERS to ensure you receive communications from your correct regional contractor.

TRICARE East vs. TRICARE West: Key Differences

TRICARE is divided into two stateside regions, each managed by a separate contractor. The East Region is administered by Humana Military, and the West Region is administered by TriWest Healthcare Alliance.

FeatureTRICARE East (Humana Military)TRICARE West (TriWest)
ContractorHumana MilitaryTriWest Healthcare Alliance
Phone1-800-444-54451-888-TRIWEST (874-9378)
Websitetricare.mil/easttricare.mil/west
Beneficiaries~6.1 million~2.8 million (pre-T-5); ~4.2 million (post-T-5)
States covered30 states + D.C.26 states
Claims addressP.O. Box 202146, Florence, SC 29502-2146TriWest claims address
Payer ID99727Varies
See also
Creating a Humana Military Account: A Guide for Providers in South Carolina

Source: GAO-25-107484 and TRICARE.mil

Common Mistakes TRICARE East Beneficiaries Make

Avoiding these errors can prevent claim denials, delayed payments, and coverage gaps:

  • Filing claims after the one-year deadline. TRICARE East requires claims within one year of the service date. Late claims are denied unless you qualify for a timely filing waiver.

  • Using a non-authorized provider. If you see a provider who is not TRICARE-authorized, you pay the full cost of care. Always verify authorization before your appointment.

  • Not updating DEERS information. If your address, email, or phone number is outdated in DEERS, you may miss important communications from Humana Military or your new contractor if you move.

  • Assuming a referral guarantees payment. A referral or authorization is not proof of eligibility or a guarantee of benefits.

  • Trying to file claims digitally. TRICARE East claims cannot be filed online. You must mail or fax them. You can only check claim status online.

  • Forgetting to check if your ZIP code changed regions. Six states moved from East to West in 2025. Some ZIP codes in those states remain in the East Region. Verify your region at tricare.mil/regions.[reference:39]

  • Not creating a portal account. Without a Humana Military portal account, you cannot view your EOBs online, check claim status, or manage your health care digitally.

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Common Questions

What is the phone number for Humana Military TRICARE East?
The main customer service number for TRICARE East is 1-800-444-5445. Representatives are available Monday through Friday, 8 a.m. to 6 p.m. Central and Eastern time. You can also visit Humanamilitary.com for self-service options.

How do I file a TRICARE East claim?
Complete DD Form 2642 and mail it to TRICARE East Region: New Claims, P.O. Box 202146, Florence, SC 29502-2146. You can also fax it to 877-489-0007. Claims must be filed within one year of the service date. You cannot file claims digitally.

How do I log in to the Humana Military portal?
Go to www.tricare.mil/east or www.humanamilitary.com and select “Log in” or “Register for an account.” Review the privacy information and create your user ID and password. The portal lets you view claims, check referral status, and manage your health care.

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What states are in the TRICARE East Region?
The East Region includes 30 states and the District of Columbia: Alabama, Connecticut, Delaware, D.C., Florida, Georgia, Indiana, Iowa (Rock Island Arsenal area), Kentucky, Maine, Maryland, Massachusetts, Michigan, Mississippi, Missouri (St. Louis area), New Hampshire, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, South Carolina, Tennessee, Vermont, Virginia, West Virginia, and parts of other states.

Did my state move to TRICARE West in 2025?
Six states moved from East to West on January 1, 2025: Arkansas, Illinois, Louisiana, Oklahoma, Texas, and Wisconsin. Some ZIP codes in these states remain in the East Region. Verify your region by entering your ZIP code at tricare.mil/regions.

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How long does TRICARE East take to process claims?
The median processing time for behavioral health claims is 1 day, with 84% processed within 30 days. The overall average is 9.06 days. Humana Military is contractually required to process 98% of claims within 30 days.

Can I file a TRICARE East claim online?
No. TRICARE East claims must be filed by mail or fax. However, you can check the status of your claims online through the Humana Military beneficiary portal after submission.

What is the TRICARE East payer ID for electronic claims?
The 2025 TRICARE East Payer ID is 99727. This ID is used by providers submitting electronic claims through clearinghouses to PGBA LLC, Humana Military’s claims processor.

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What is the TRICARE East mobile app?
The TRICARE East mobile app lets you view claim details, referral and authorization status, provider information, and eligibility from your phone. It is available for free on the Google Play Store and Apple App Store.

What is myAuth, and how does it affect my TRICARE East login?
myAuth is a new login platform the Defense Health Agency is transitioning to by the end of 2026. It replaces the legacy DS Logon system. You will sign in with a username and password plus multi-factor authentication.

Can I change my TRICARE plan during Open Season?
Yes. TRICARE Open Season runs from November 11 through December 9 each year. You can change plans through Beneficiary Web Enrollment (BWE) at milConnect or by calling Humana Military at 1-800-444-5445.

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What happens if I see a provider who is not TRICARE-authorized?
If you see a provider who is not eligible for TRICARE authorization, you will be responsible for the full cost of care. Always verify that your provider is TRICARE-authorized before your appointment.

Key Takeaways

  • Humana Military administers the TRICARE East Region under a contract with the Defense Health Agency.

  • The main customer service number is 1-800-444-5445; representatives are available M–F, 8 a.m.–6 p.m. CT/ET.

  • Claims must be filed within one year of service; mail to P.O. Box 202146, Florence, SC 29502-2146 or fax to 877-489-0007.

  • The Humana Military beneficiary portal allows you to view claims, check referral status, and manage health care online.

  • The TRICARE East Region covers 30 states and D.C., serving approximately 6 million beneficiaries.

  • Six states moved from East to West on January 1, 2025: Arkansas, Illinois, Louisiana, Oklahoma, Texas, and Wisconsin.

  • Claims processing averages 9.06 days; behavioral health claims have a median of 1 day.

  • The TRICARE East Payer ID for electronic claims is 99727.

  • The T-5 contract runs through 2032; Humana Military continues as East Region contractor.

  • myAuth will replace DS Logon for TRICARE logins by the end of 2026.

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