TRICARE February 2026 Provider Pulse

Submit Multiple Claim Reconsiderations via Fax or Mail

For TRICARE providers looking to submit multiple claims reconsiderations at once, please use the new page separator sheet when submitting multiple pieces of correspondence to our mail vendor via fax or mail.

Failure to use this page separator with barcode per the instructions below may cause a delay in the review of your inquiries.

Instructions:

• Please do not send a cover page.
• The splitter page should be page 1 with the barcode at the top.
• Follow the required sequence:
  • Page Separator
  • First claim correspondence inquiry, such as a reconsideration form and any supporting documentation
  • Page Separator
  • Second claim correspondence inquiry and any supporting documentation
  • Page Separator
  • Continue the above sequence until your packet is complete

Separating your individual submissions with splitter pages and utilizing the fax or address on the reconsideration form will ensure your requests are received and handled efficiently.

Reminder: Virtual Health Options Available for Beneficiaries

TRICARE offers a variety of virtual care options to TRICARE West Region beneficiaries. Virtual care may help some of your TRICARE patients by providing access to care from the comfort of their home.

TriWest has contracted with telehealth groups to support the following clinical services virtually:

• Virtual Urgent Care
• Virtual Mental Health
• Virtual Psychiatry
• Virtual Dermatology
• Virtual Speech Therapy

To learn more about virtual health options available visit the Virtual Health Network Partners page.

Referring Patients to Virtual Care

If you have patients who prefer virtual care, you can refer them to one of TriWest’s contracted virtual providers. These referrals ensure that beneficiaries receive timely, high-quality care in the setting that best fits their needs. When creating a referral to virtual providers please direct it to one of our virtual groups/providers or highlight that the beneficiary prefers virtual options within the referral.

Confirming Your Own Telehealth Services or Capabilities

If you are a provider that offers virtual health options and have not already completed our telehealth onboarding, please contact telehealth@triwest.com to ensure your information accurately reflects your capabilities.

Learn More About Wellness Support for TRICARE Patients

Help beneficiaries take the next step towards better health by sharing resources provided by our wellness programs under Population Health and Disease Management:

• Pre-recorded Webinars: Population and Disease management has been busy at work putting together pre-recorded webinars to educate beneficiaries. June’s pre-recorded webinar, Protect Your Skin: Cancer Screening Compliance, shares valuable information on skin cancer that is broken down from how to protect against UVA and UVB, how to do skin checks, and how to stay compliant with screenings.
• Wellness Webpage Campaigns: in observance with monthly initiatives, our team has developed campaign webpages that speak to the month’s observances. You can refer beneficiaries to the wellness webpage campaigns, TRICARE Skin Mission: Scan and Protect web page, and On a Mission to Heal: Navigating Posttraumatic Stress.
• Tobacco and Vaping Cessation (T&V) Line: Encourage beneficiaries to call the T&V cessation line, 833-818-2414, for support to quit smoking or vaping. More resources and education are located on the TRICARE Tobacco and Vaping Cessation web page.

You can refer beneficiaries, or have beneficiaries refer themselves, through the beneficiary portal for the following conditions:

• Anxiety
• Asthma (Pediatric and Adult)
• Coronary Artery Disease
• Chronic Obstructive Pulmonary Disease
• Congestive Heart Failure
• Depression
• Diabetes (Pediatric and Adult)
• Long-Covid
• PTSD

Unless indicated otherwise, disease management programs currently serve patients 18 years of age and older. Help us spread the word to beneficiaries by providing them with education and resources specifically made to lead a healthy life.

TRICARE Provider Handbook Updates

There are currently no updates to the TRICARE Provider Handbook.