Top 5 Things TRICARE Providers Need to Know

#1 Bookmark Important Resources

• Website: https://tricare.triwest.com
• Secure Portal: Availity.com
  • New user? Learn how to register and access a quick reference guide.
  • Go to the TRICARE West Payer Space for access to training, updates, and all secure applications and tools.

#2 Follow Guidelines for Care

• Provide authorized care if you are a TRICARE network provider named on a T-2017 authorization. That authorization is valid until the authorization ends or June 30, 2025, whichever comes first.
• Starting October 1, or if care other than what is listed on an existing authorization is needed, a new authorization issued by TriWest is required.
• Still have questions about whether care will be covered? Read the Referral/Authorization Guidelines.

#3 Determine What Requires a Referral/Authorization

• Log in to Availity to understand what requires an authorization/referral.
  • Select TRICARE West under Payer Spaces.
  • Under Applications, choose “Is A Referral/Auth Required?”.
  • Follow the steps for determining when to send requests and/or documentation.

#4 Learn How to Submit a Referral

• Log in to Availity.
• Select TRICARE West under Payer Spaces.
• Under Applications, choose Submit Referral/Auth.
  • Need help navigating the tool? Review the Referral/Authorization Quick Reference Guide.

#5 Submit Claims with Ease

• Submit claims to TriWest after caring for a West Region beneficiary.
• Read the latest claims guidelines and access the payer ID.

Stay in the Know!

Go to the TRICARE West Payer Space on Availity and read the latest News and Announcements.