Quick Reference Guides (QRGs)

Availity/Secure Provider Portal

• Introduction to the Provider Portal
• Registering and Accessing the TRICARE West Secure Provider Portal on Availity

Billing & Claims

• Submitting External Resource Sharing Agreement (ERSA) Claims
• Submit a Claim Reconsideration Request
• Billing for Physical, Occupational, and Speech Therapies Criteria
• Billing Guidance for Concurrent Care and Session Times under the Autism Care Demonstration
• TRICARE Inquiries

Referral/Authorization

• TRICARE Referral/Authorization User Guide
• Submit/View Referrals and Authorizations
• TRICARE Referral Management System User Guide
• Claims Submission
• Referral Codes and Profile Review
• Alternative Referral/Authorization Form
• Request a Concurrent Review for Referrals and Authorizations Process Aid

Provider Directory

• TRICARE Provider Directory Change Request FAQ
• Searching for Telehealth Providers and Facilities in the Provider Directory

Telemedicine

• Telemedicine Conditions and Codes for Payment
• Searching for Telehealth Providers and Facilities in the Provider Directory

Miscellaneous

• Improving Medical Documentation Accuracy and Clarity
• GRAIL Galleri Test
• TRICARE Childbirth and Breastfeeding Support Demonstration
• Home Health Care Homebound Criteria
• Pharmacy Essentials
• Beneficiary Open Season Frequently Asked Questions for Providers