com Accredo, a full service specialty. Territories, call WPS-Military and Veterans Health: 1-866-773-0404 TDD 1-866-773-0405 For all other overseas areas, call International SOS. Continued Health Care Benefit Program (CHCBP) CHCBP is a premium-based plan that offers temporary transitional health coverage for 18 to 36 months after TRICARE eligibility ends. Update your TRICARE eligibility status. Emergency Care: What’s an Emergency?. Instructions are on the form; You dont need to send multiple forms. ** WPS TRICARE ® only issues authorizations when TRICARE For Life is the primary payer, and when TRICARE policy requires an authorization for the service. Set up texts by logging in and going to Two-Step Verification in your Account. Tricare Select Basics With Tricare Select you can get care from any Tricare-authorized provider, network or non-network. To check the status or make changes to your authorization, click below to visit our Check Authorization and Referral Status tool. TRICARE Brand Over Generic Prior (Rx) Authorization Form; All TRICARE Forms; How to Write. How to Get Pre-Authorization Search for your drug on the TRICARE Formulary Search Tool Download and print the form for your drug. Check the status of your request Routine requests are processed within 2-5 business days. [email protected]. Welcome TRICARE providers! Your relationship with your patients can make all the difference in their health. Send all refunds to: WPS/TRICARE For Life Attn: Refunds P. Look up information related to your Physical Appointments must go through our Appointment Line at 913- 684-6250. For mental health/substance abuse services for US Family Health Plan members call BHCP at 1-888-812-7335. Request Appointment Control Number. Search for your drug on the TRICARE Formulary Search Tool. You can check on your authorization by calling your regional contractor found at the Tricare. The mission of TRICARE is to deliver exceptional medical and dental care to eligible beneficiaries and their families. Download and print the form for your drug. Box 7889 Madison, WI 53707-7889 Fax correspondence to:. Find a TRICARE Plan Find a Doctor Find a Phone Number MHS Nurse Advice Line Contact Us Submenu for Contact Us Call Us Find My Login Find a Claims Address Ask a Benefit Question File a Complaint Report Fraud and Abuse Learn More about COVID-19 and the COVID-19 vaccine. Check the TRICARE Formulary to see if you need pre-authorization. Create a new referral or authorization The quickest, easiest way to request a new referral or authorization or update an existing referral or authorization is through provider self-service. Prior Authorization for Pharmacy Drugs. Ancillary Services Most ancillary services do not require a separate approval. Evaluate only – Allows for two office visits with the specialist to evaluate the beneficiary and perform diagnostic services, but not treat. Note: Our Network-to-Network Provider Change. TOL Secure Web Portal Technical Support. TRICARE West Claims Submission Health Net Federal Services, LLC TRICARE Prime, TRICARE Prime Remote/TRICARE Prime Remote for Active Duty Family Members, TRICARE West Authorization Appeals P. Processing Timelines and Notification. Use our shortcut guide to get where you need fast. (866) 529-4917 TTY users call: (800) 899-2114 24 hours a day, 7 days a week. Not available for TRICARE ® beneficiaries. Step 5: Once you receive your HUMANA letter, contact the listed Specialty Care Provider on the letter to book your appointment. View FAQs Submit new referral/authorization. Complete the form below to instantly receive your ACN and approval to schedule your care with a United Concordia network dentist. mil Details > Defense Enrollment Eligibility Reporting System (DEERS) 1-800-538-9552 Details > TRICARE Pacific Singapore: +65-6339-2676 (overseas) 1-877-678-1208 (stateside) Sydney: +61-2-9273-2710 1-877-678-1209 (stateside) Details >. TRICARE Prime Use the TRICARE Prime Enrollment, Disenrollment and Primary Care Manager (PCM) Change Form (DD Form 2876) to enroll in one of the TRICARE Prime Options: TRICARE Prime TRICARE Prime Remote TRICARE Prime Overseas TRICARE Prime Remote Overseas To enroll, download, complete and mail your regionsform to your regional contractor:. How to Get Pre-Authorization. If you have a question regarding TRICARE benefits, please go to the TRICARE Contact Us page page. Optum will be managing prior authorization requests for the following: Radiation Oncology: Selected radiation oncology treatments and procedures (In and Out of Network). For example, a primary care manager (PCM) sends a patient to a cardiologist to evaluate a possible heart problem. Friday CT TDD option (Telecommunications Device for the Deaf) 866-773-0405 Mail or Fax Send all claims to: WPS/TRICARE For Life P. Box 2219 Virginia Beach, VA 23450-2219 Fax: 1-844-769-8007. 1-800-TRICARE (1-800-874-2273), option 1 MHSNurseAdviceLine. Schedule your appointment with the provider listed in the authorization letter. Youll need to check your regions secure patient portal. Health Net Federal Services is the managed care support contractor for the TRICARE North Region. Referral authorization information isnt available on the MHS GENESIS Patient Portal. Box 105838 Atlanta, GA 30348-5838: West : Health Net, LLC P. To check the status or make changes to your authorization, click below to visit our Check Authorization and Referral Status tool. mil is the official website of the Defense Health Agency (DHA) a component of the Military Health System TRICARE is a registered trademark of the Department of Defense (DoD), DHA. Step 5: Once you receive your HUMANA letter, contact the listed Specialty Care Provider on the letter to book your appointment. Serving Massachusetts, including Cape Cod, as well as Rhode Island and parts of Northern Connecticut. TRICARE requires beneficiaries access referral and authorization determination letters online. If you have a referral, then your provider gets pre-authorization at the same time. Be sure an authorization is in place so you dont have to pay for the services out of pocket. TRICARE Prime is available in Prime Service AreasGeographic areas in the U. Serving Massachusetts, including Cape Cod, as well as Rhode Island and parts of Northern Connecticut. TRICARE Prime is a managed care option available in Prime Service AreasGeographic areas in the U. 2851 to submit a verbal prior authorization request if you are unable to use Electronic Prior Authorization. Do I need an authorization?. What is TRICARE Select, TRICARE Select Eligibility. Please note: Prime beneficiaries must have a referral for clinical preventive services. The mission of TRICARE is to deliver exceptional medical and dental care to eligible beneficiaries and their families. Authorizations and Referrals. Toll-free number outside of the United States: ( 877)363-1303 Or, dial the in-country access code listed below: Germany: 00+800-3631-3030 Italy: 00+800-3631-3030 Japan–IDC:. Please note: Prime beneficiaries must have a referral for clinical preventive services when they see a non-network provider. where we offer TRICARE Prime. View FAQs Check your referral status. Prior Authorization For prescriptions, please visit our Pharmacy page. Getting Care TRICARE Prime Beneficiaries TRICARE Prime programs (including TRICARE Prime Remote and TRICARE Young Adult Prime) are managed care programs. It acts as a bridge between military health benefits and your new civilian health plan. Prime Service Areas were also built around the Base Realignment and Closure sites. Ancillary Services Most ancillary services do not require a separate approval from HNFS; however, for TRICARE Prime patients, the services must be ordered by the primary care manager or a specialist the patient was approved by HNFS to see. Well reply by email within 24 to 72 hours. Be sure an authorization is in place so you dont have to pay for the services out of pocket. (Auth/Ref) Where can I find information to help me with submitting requests using CareAffiliate®?. Create a new referral or authorization The quickest, easiest way to request a new referral or authorization or update an existing referral or authorization is through provider self-service. Health Net Federal Services is the managed care support contractor for the TRICARE North Region. Or, dial the in-country access code listed below: Germany: 00+800-3631-3030. TRICARE Prime is available in Prime Service AreasGeographic areas in the U. Find a TRICARE Plan Find a Doctor Find a Phone Number MHS Nurse Advice Line Contact Us Submenu for Contact Us Call Us Find My Login Find a Claims Address Ask a Benefit Question File a Complaint Report Fraud and Abuse Learn More about COVID-19 and the COVID-19 vaccine. 1-800-TRICARE (1-800-874-2273), option 1 MHSNurseAdviceLine. Free TRICARE Prior (Rx) Authorization Form. Learn about the referral process at Humana Military. Go to ExpressPAth Prior Authorization Resources Please call us at 800. Box 7890 Madison, WI 53707-7890: Send all written correspondence to: WPS/TRICARE For Life P. Toll-free number outside of the United States: ( 877)363-1303 Or, dial the in-country access code listed below: Germany: 00+800-3631-3030 Italy: 00+800-3631-3030 Japan–IDC: 0061+800-3631-3030 Japan–Japan Telecom: 0041+800-3631-3030 Japan–KDD: 010+800-3631-3030 Japan–Other: 0033+800-3631-3030 South Korea: 002+800-3631-3030. If you have TRICARE Select, referrals are not required, but you may need prior authorization from Humana Military for some services. Information for Providers. Toll-free number outside of the United States: ( 877)363-1303 Or, dial the in-country access code listed below: Germany: 00+800-3631-3030 Italy: 00+800-3631-3030 Japan–IDC: 0061+800-3631-3030 Japan–Japan Telecom: 0041+800-3631-3030 Japan–KDD: 010+800-3631-3030 Japan–Other: 0033+800-3631-3030 South Korea: 002+800-3631-3030. (877) 363-1303 TTY users call: (877) 540-6261 24 hours a day, 7 days a week. Toll-free number outside of the United States: ( 877)363-1303 Or, dial the in-country access code listed below: Germany: 00+800-3631-3030 Italy: 00+800-3631-3030 Japan–IDC: 0061+800-3631-3030 Japan–Japan Telecom: 0041+800-3631-3030 Japan–KDD: 010+800-3631-3030 Japan–Other: 0033+800-3631-3030 South Korea: 002+800-3631-3030. To do this, log in and click on Secure Inbox. Prior Authorization Resources. When using one of these plans:. Recommended Content: Information for Patients: About TRICARE / Information for Providers / Qualifying Life Events / TRICARE Health Plan Page 1 of 1 , showing items 1 - 14 Last Updated: March 14, 2023. Phone: 1-866-735-2963 Relayhealth. There isn’t an enrollment card for TRICARE For Life. Use our shortcut guide to get where you need fast. Instructions are on the form; You don’t need to send multiple forms. To do this, log in and click on “Secure Inbox. where we offer TRICARE Prime. Check the TRICARE Formulary to see if you need pre-authorization. Check the TRICARE Formulary to see if you need pre-authorization. All you need is your Medicare card and military ID as proof of coverage. Prior Authorization criteria is available upon request. mil is the official website of the Defense Health Agency (DHA) a component of the Military Health System TRICARE is a registered trademark of the Department of Defense (DoD), DHA. For Active Duty Service Members (ADSM) and all other beneficiaries enrolled in a TRICARE Prime plan, PCMs must provide a referral for most services they cant provide. TRICARE West>Authorizations. TRICARE Website Express Scripts TRICARE Website TRICARE Pricing and Deductible Information Prior Authorization Form - Compounded Medications (PDF) TRICARE Formulary Search Tool User Guide DAW Prior Authorization Form Formulary Related Drug Lists Start a new prescription: Home Delivery Order Form. Healthcare for military members and their families in the TRICARE …. You can get care from any TRICARE-authorized provider, network or non-network. com Details> Defense Health Agency www. tricare. As the Department of Defense implements this new EHR, Express Scripts will provide resources and training on electronic prescribing, claims processing, adjudication and management, and prior authorization. TRICARE requires beneficiaries access referral and authorization determination letters online. Have questions about training or available resources? Contact [email protected]. com>Do I need an authorization?. TRICARE West Provider Authorizations Authorizations and Referrals Auth and Referral Requests How to Submit to HNFS How Do I Verify Approval Requirements Request. As the Department of Defense implements this new EHR, Express Scripts will provide resources and training on electronic prescribing, claims processing, adjudication and management, and prior authorization. (866) 529-4917 TTY users call: (800) 899-2114 24 hours a day, 7 days a week. Footer Navigation Contact Us Call Us. org View the Website CHRISTUS Health US Family Health Plan Serving Houston, TX San Antonio, TX Leesville, LA and Lake Charles, LA Members: 1-800-678-7347 Non-Members: 1-800-678-7347 Providers: CHP. TRICARE West Provider Authorizations Authorizations and Referrals Auth and Referral Requests How to Submit to HNFS How Do I Verify Approval Requirements Request Changes to My Authorization File an Appeal Complete Letters of Attestation Review Line of Duty (LOD) Care Transfer and Copy Medical Records Learn About Care Management Programs. When care is approved: Your regional contractor sends you an authorization letter with specific instructions. TFL may reduce payment 10% when services are not approved in advance, however ABA services will not be considered without an authorization. For mental health/substance abuse services for Generations Advantage Plan members call BHCP at 1-800-708-4532. No referrals are required, but some care may require prior. Check the Status or Make Changes. Call 1-800-TRICARE (874-2273) – Option 1 to talk to a registered nurse. TRICARE Prime is a managed care option available in Prime Service AreasGeographic areas in the U. Referral related submission: Submit. How do I get a referral? Contact your PCM for a referral. You may also go online to www. If you do not have access to a computer, you can call customer service to request letters be mailed to you on a per-instance basis. Last Updated 1/4/2023 Find a TRICARE Plan Find a Doctor Find a Phone Number. Step 2 – Document the active ingredient(s) in the requested compound medication. How to Get Pre-Authorization Search for your drug on the TRICARE Formulary Search Tool Download and print the form for your drug. For further details, please visit Optum Documentation or call 1-866-572-9491. Have questions about training or available resources? Contact [email protected]. Health Net Federal Services. Information for our Martins Point providers is available below including access to the Provider Portal, Provider Manual, as well as other useful tools and resources. View our Prior Authorization, Referral and Benefit Tool Guide for step-by-step user instructions. TRICARE Prime is available in Prime Service AreasGeographic areas in the U. where we offer TRICARE Prime. To update eligibility status for a family member, contact the Defense Enrollment Eligibility Reporting System (DEERS) at (800) 538-9552 and verify what documentation is required for the change. US Family Health Plan (USFHP) If you participate in USFHP, please call, (800) 74-USFHP or (800) 748-7347 for information regarding. Office Ally Phone: 1-866-575-4120 Officeally. TRICARE Members Call for TRICARE Beneficiary Customer Service or Technical Support for the TRICARE Beneficiary Program. Log in or register now Check eligibility Manage referrals and authorizations View or submit claim The provider handbook is made for you!. TRICARE For Life: 866-773-0404 5 a. Japan–Japan Telecom: 0041+800-3631-3030. WPS/TRICARE For Life P. Medically necessary services are payable in the absence of an authorization by this process: Submit a claim with. local time, Monday through Friday Fax requests: Complete the applicable form below and fax it to 1-855-681-8650. US Family Health Plan Claims Department PO Box 11410 Portland, ME 04104-7410. 1-800-TRICARE (1-800-874-2273), option 1 MHSNurseAdviceLine. Referral authorization information isnt available on the MHS GENESIS Patient Portal. Mailing Addresses/Fax Numbers. Optum Management for Generations Advantage Medicare Plans Begins March 1, 2023. Find a TRICARE Plan Find a Doctor Find a Phone Number MHS Nurse Advice Line Contact Us Submenu for Contact Us Call Us Find My Login Find a Claims Address Ask a Benefit Question File a Complaint Report Fraud and Abuse Learn More about COVID-19 and the COVID-19 vaccine. Calling from overseas Dedicated support lines ACTIVE DUTY AND PRIME REMOTE (877) 249-9179. For Active Duty Service Members (ADSM) and all other beneficiaries enrolled in a TRICARE Prime plan, PCMs must provide a referral for most services they cant provide. 1-800-444-5445 TRICARE East Region Website TRICARE West Region -Health Net Federal Services 1-844-866-9378 TRICARE West Region Website TRICARE For Life For U. They must include all supporting documents and send the claim through the website or by fax ( 608-301-2114 or 608-301-3100 ). US Family Health Plan (USFHP) If you participate in USFHP, please call, (800) 74-USFHP or (800) 748-7347 for information regarding your plan. However, under TRICARE PRIME, Active Duty Family Members and Retiree and Retiree Family Members do not need a referral. Office Ally Phone: 1-866-575-4120 Officeally. No referrals are required, but some care may require prior. Urgent requests, for care needed within 72 hours, are expedited based on the clinical information submitted. com to access your authorization sooner! 4) If NO letter is received by the 10th business day, you can contact HUMANA by calling 1-800-444-5445. TRICARE Members Call for TRICARE Beneficiary Customer Service or Technical Support for the TRICARE Beneficiary Program. It is the responsibility of the TRICARE beneficiary, parent or legal representative to report a change in status. 1-800-444-5445 TRICARE East Region Website TRICARE West Region –Health Net Federal Services 1-844-866-9378 TRICARE West Region Website. How to Get Pre-Authorization. Health Net Federal Services is the managed care support contractor for the TRICARE North Region. You can check the status of requests and view copies of determination letters online (log in to the Secure Portal), or use the automated self-service tools at 1-844-866-WEST (1-844-866-9378). 59-M, April 2015; TRICARE Policy Manual 6010. Welcome TRICARE providers! Your relationship with your patients can make all the difference in their health. TRICARE® For Life does not issue retroactive authorizations for any reason. For TRICARE Select beneficiaries, referrals. Give the form to your provider to complete and send back to Express Scripts. Toll-free number outside of the United States: ( 877)363-1303. Getting pre-authorization means youre getting the care approved by your regional contractor before you go to an appointment and get the care. TRICARE West Provider Authorizations Authorizations and Referrals Auth and Referral Requests How to Submit to HNFS How Do I Verify Approval Requirements Request Changes to My Authorization File an Appeal Complete Letters of Attestation Review Line of Duty (LOD) Care Transfer and Copy Medical Records Learn About Care Management Programs. Im interested in Home Delivery. TRICARE Program Manuals - 2015 Edition (T-2017) TRICARE Operations Manual 6010. Register Home Pharmacy Benefits Providers Help MilitaryRx Blog English Search Home You deserve quality care. Log in now *Providers should submit referrals and authorizations (including behavioral health) through self-service. Express Scripts>Open Enrollment. They must include all supporting documents and send the claim through the website or by fax ( 608-301-2114 or 608-301-3100 ). View our Prior Authorization, Referral and Benefit Tool Guide for step-by-step user instructions. 60-M, April 2015; TRICARE Reimbursement Manual 6010. You can check the status of requests and view copies of determination letters online (log in to the Secure Portal), or use the automated self-service tools at 1-844-866-WEST (1-844. Note: Our Network-to-Network Provider Change guide provides step-by-step instructions on how to make provider changes within the Check Authorization and Referral Status tool. Change Healthcare Phone: 1-800-845-6592 Payor ID: 53275. Recommended Content: Information for Patients: About TRICARE / Information for Providers / Qualifying Life Events / TRICARE Health Plan Page 1 of 1 , showing items 1 - 14 Last Updated: March 14, 2023. Enter the name, address, phone, and fax numbers of the prescribing physician. For TRICARE Select beneficiaries, referrals are not required, but some services may require prior authorization from Humana Military. TRICARE Program Manuals - 2015 Edition (T-2017) TRICARE Operations Manual 6010. Object moved to here. Prior Authorization For prescriptions, please visit our Pharmacy page. WPS Website View More Contacts. Calling from overseas Dedicated support lines ACTIVE DUTY AND PRIME REMOTE (877) 249-9179 APPLIED BEHAVIOR ANALYSIS (ABA) (866) 323-7155 DEERS (800) 538-9552 FRAUD AND ABUSE (800) 333-1620 NATIONAL GUARD AND RESERVE (NGR) (877) 298-3408. TRICARE West Provider Authorizations Authorizations and Referrals Auth and Referral Requests How to Submit to HNFS How Do I Verify Approval Requirements Request Changes to My Authorization File an Appeal Complete Letters of Attestation Review Line of Duty (LOD) Care Transfer and Copy Medical Records Learn About Care Management Programs. Update your TRICARE eligibility status. If you have a question regarding TRICARE benefits, please go to the TRICARE Contact Us page page. Prior Authorizations and Referrals. Call (800) 444-5445 Use this shortcut guide to get where you need fast. Referral information for TRICARE East providers. Referral and Authorizations. Tricare Prime Prior Authorization Phone Numbercom to access your authorization sooner! 4) If NO letter is received by the 10th business day, you can contact HUMANA by calling 1-800-444-5445. How to Submit an Authorization or Referral Request. Box 7889 Madison, WI 53707-7889 Fax correspondence to: 608-301-2114 or 608-301-3100. If you have TRICARE Select, referrals are not required, but you may need prior authorization from Humana Military for some services. They ensure medical readiness of active duty by adding to the capability and capacity of military hospitals and clinics. Access tools and resources that can support you in their care. Active Duty Service Members still need a referral for urgent care. Search for your drug on the TRICARE Formulary Search Tool. Provider Support for TRICARE East Region. Instructions are on the form; You don’t need to send. Log in now *Providers should submit referrals and authorizations (including behavioral health) through self-service. Box 7928 Madison, WI 53707-7928. TRICARE Program Manuals - 2015 Edition (T-2017) TRICARE Operations Manual 6010. com Accredo, a full service specialty pharmacy. Military Medical Support Office at Defense Health Agency, Great Lakes. Puerto Rico prior authorization For pharmacy drugs, prescribers can submit their requests to Humana Clinical Pharmacy Review (HCPR) — Puerto Rico through the following methods: Phone requests: 1-866-488-5991 Hours: 8 a. 60-M, April 2015; TRICARE Reimbursement Manual 6010. Call (800) 444-5445 Use this shortcut guide to get where you need fast. Members: 1-800-818-8589 Non-Members: 1-888-815-5510 Providers: Thomas. 59-M, April 2015; TRICARE Policy Manual 6010. Prior Authorization, Referral and Benefit Tool. Phone: 1-866-735-2963 Relayhealth. TRICARE Website Express Scripts TRICARE Website TRICARE Pricing and Deductible Information Prior Authorization Form - Compounded Medications (PDF) TRICARE Formulary Search Tool User Guide DAW Prior Authorization Form Formulary Related Drug Lists Start a new prescription: Home Delivery Order Form. TRICARE Pharmacy Program / Express Scripts NEW: You can now add a mobile phone number to get your codes via text message. For Active Duty Service Members (ADSM) and all other beneficiaries enrolled in a TRICARE Prime plan, PCMs must provide a referral for most services they cant provide. Footer Navigation Contact Us Call Us. They ensure medical readiness of active duty by. You can get care from any TRICARE-authorized provider, network or non-network. The mission of TRICARE is to deliver exceptional medical and dental care to eligible beneficiaries and their families. If you have a referral, then your provider gets pre-authorization at the same time. When completing the referral, always include the sponsor’s TRICARE ID, diagnosis and clinical data explaining the reason for the referral. Call 1-800-TRICARE (874-2273) – Option 1 to talk to a registered nurse. TRICARE® For Life Authorization Request. If you are within the United States, please call us toll-free at: ( 877)363-1303. Instructions are on the form You don’t need to send multiple forms. Step 1 – Enter the name, address, sponsor ID#, and DoB of the patient. If you have TRICARE Select, referrals are not required, but you may need prior authorization from Humana Military for some services. Find a TRICARE Plan Find a Doctor Find a Phone Number MHS Nurse Advice Line Contact Us Submenu for Contact Us Call Us Find My Login Find a Claims. Mailing Addresses/Fax Numbers. ” If you do not have access to a. TRICARE Prime is available in Prime Service AreasGeographic areas in the U. Toll-free number outside of the United States: ( 877)363-1303. You can check on your authorization by calling your regional contractor found at the Tricare. Be sure an authorization is in place so you dont have to pay for the services out of pocket. 61-M, April 2015; TRICARE Systems Manual 7950. Not available for TRICARE ® beneficiaries. Tricare Select Basics With Tricare Select you can get care from any Tricare-authorized provider, network or non-network. Check the Status or Make Changes to an Authorization. Tricare Authorizations and Referrals. Generations Advantage Claims Department PO Box 11410 Portland, ME 04104-7410. Box 8458 Virginia Beach, VA 23450-8458: Overseas : International SOS Assistance. View All Phone Numbers Want to know how to call TRICARE? The tables below list contact information for all TRICARE-related contractors, partners, and Military Health System (MHS) resources. Getting pre-authorization means you’re getting the care approved by your regional contractor before you go to an appointment and get the care. You can check the status of requests and view copies of determination letters online (log in to the Secure Portal), or use the automated self-service tools at 1-844-866-WEST (1-844-866-9378). TRICARE Pharmacy Program / Express Scripts NEW: You can now add a mobile phone number to get your codes via text message. If you have hearing impairment, TTP: ( 877)540-6261. Inpatient: By fax using our Inpatient TRICARE Service Request Notification form. mil Details > Defense Enrollment Eligibility Reporting. Create a new referral or authorization The quickest, easiest way to request a new referral or authorization or update an existing referral or authorization is through provider self. Welcome TRICARE providers! Your relationship with your patients can make all the difference in their health. Claim support documentation for Humana Military. Help and customer support from Humana Military. Referral process for providers. Members: 1-800-818-8589 Non-Members: 1-888-815-5510 Providers: Thomas. Authorization or Medical Necessity. This type of referral includes diagnostic/ancillary services that do not require HNFS. Request Appointment Control Number Friday, May 5, 2023 Request Appointment Control Number To coordinate your routine covered dental care, you must first get an Appointment Control Number (ACN). Box 7890 Madison, WI 53707-7890 Send all written correspondence to: WPS/TRICARE For Life P. Change Healthcare Phone: 1-800-845-6592 Payor ID: 53275. For example, a primary care manager (PCM) sends a patient to a cardiologist to evaluate a possible heart problem. Contact your regional contractor if you need to find another provider. 61-M, April 2015; TRICARE Systems Manual 7950. You can get care from any TRICARE-authorized provider, network or non-network. As the Department of Defense implements this new EHR, Express Scripts will provide resources and training on electronic prescribing, claims processing, adjudication and management, and prior authorization.