Request tricare reconsideration 2025

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First, send a letter to the TRICARE contractor at the address specified in the notice of the right to appeal. The address is included in the explanation of benefits (EOB) or other decision. The appeal letter must either be postmarked or received within 90 days of the date on the EOB or other decision.
The problem stems from the fact that most Tricare managed care support contractors have negotiated physician reimbursement rates that are even lower than those paid by Medicare. Unhappy with their fees, some major health care provider groups have simply dropped out of the system.
Doctors shortage (some have relocated or retired, overworked), high demand, covid: still a long backlogged of patients while many that have put off basic healthcare are now making appts. This is even more so in private practice which have less staffing and resources.
A motion for reconsideration is made to the same judge that entered the original decision. An appeal will be heard by different judges on appeal.
Your appeal must have a postmark within 90-calendar days from the date on your EOB or determination letter. To learn more, visit the File a Complaint page.

People also ask

Specifically, the three-year findings across all states and HSAs show: -- Approximately 87 percent of all physicians surveyed are aware of the Tricare program. -- About 81 percent of physicians that accept new patients also accept new Tricare Standard patients.
the doctors are basically forced to accept what tricare pays them (which is basically the medicaid rates). Its the reason a lot of doctors dont accept tricare.

tricare east reconsideration form