Referral Request Reminders for TRICARE Providers

When submitting requests for subsequent care, ensure the requesting provider matches the authorized referral, and an approved PCM referral is in place using the same diagnosis and specialty.

Referral and Authorization Guidelines
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Encourage Virtual Community Groups

Encourage your patients to join our new Virtual Community Group interactive sessions led by health experts in topics like diabetes, mental health, and tobacco and vaping cessation.

Registration is in the Beneficiary Portal

Send CLRs, No Fax Required

Did a military treatment facility refer a TRICARE patient to you? Don’t forget to submit clear and legible reports back to the MTF. You can now send CLRs to MTFs, fax free via the provider portal, Availity.

Provider Portal, Availity
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provider using computer

Avoid Claims Delays

Before submitting a claim, confirm current TRICARE coverage, billing rules, and official program guidance on Claims Guidelines page.

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Don't Delay ADT Reporting

Submitting timely admission, discharge, and transfer (ADT) notifications support accurate authorizations, safe transitions, and prevent delays in claims processing.

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Sign Up for the Provider Pulse

Sent monthly, the Provider Pulse will keep you up to date with what’s happening with TRICARE. Read the latest Pulse and subscribe today.