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NETWORK TRI CARE PROVIDER FILE GROUP Application expect providers to submit claims electronically. If it is necessary to submit a paper claim, the only
acceptable forms are the approved red and white
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How to fill out tricare west region authorizations
How to fill out tricare west region authorizations
01
Obtain the Tricare West Region authorization form from the Tricare website or your healthcare provider.
02
Fill out the patient information section on the form, including name, date of birth, and Tricare ID number.
03
Provide the healthcare provider's information, including name, address, and phone number.
04
Indicate the requested service or treatment that requires prior authorization.
05
Include all relevant medical documentation, such as test results or clinical notes, to support the need for the requested service.
06
Sign and date the authorization form.
07
Submit the completed form and supporting documents to the Tricare West Region authorization department, either online or by mail.
08
Wait for Tricare to review the request and notify you of the authorization decision.
09
If approved, keep a copy of the authorization for your records and provide it to the healthcare provider before receiving the authorized service.
Who needs tricare west region authorizations?
01
Tricare West Region authorizations are required for beneficiaries who are enrolled in Tricare West and wish to receive certain services or treatments that require prior authorization.
02
This includes active duty service members, their families, retirees, and some other eligible individuals who are covered under Tricare West Region.
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