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  • Balance Billing - TRICARE
    If you choose to see a non-network, non-participating provider, please note that these providers may balance bill up to 115% of what TRICARE allows If you have questions, please send them along with a copy of your bill to TriWest via fax or mail
  • TRICARE® Claims and Billing Tips
    If TRICARE is the secondary payer, submit the claim to the primary payer first and then file electronically to TRICARE, indicating the amount paid and allowed by other health insurance (OHI), even if it is known that the OHI does not cover a service or if OHI benefits have been exhausted
  • TRICARE Referral and Authorization Guidelines
    Follow the TRICARE Referral Waiver Approval for guidance Read a letter from TriWest’s President and CEO on the importance of caring for our nation’s military families Use the online referral management system on Availity to submit and view TRICARE West Region referrals and authorizations
  • Referral approval waiver extended through June 30 for TRICARE Prime
    Do you pay for your TRICARE coverage using a bank electronic funds transfer, credit card, or debit card? If so, and you haven’t done so already, you must securely provide your recurring payment information to the West Region contractor, TriWest Healthcare Alliance You have until Wednesday, April 30 to submit your payment
  • Welcome to the New TRICARE West Region
    Use the online referral management system on Availity for quickest access to care Log in or register for our secure, self-service portals to manage care Our portals are designed specifically for TRICARE West Region beneficiaries, medical providers and government
  • Forms - TRICARE
    TRICARE West Region beneficiaries can find a variety of forms to print to assist with claims, enrollment and billing, or customer service fulfillment
  • Resources for Providers Navigating the TRICARE Transition to TriWest . . .
    #1 Use Availity to determine whether you need an authorization Tip: After logging into your Availity Essentials account, select TRICARE West – TriWest under Payer Spaces
  • TRICARE West Region Provider Handbook 2023
    This TRICARE West Region Provider Handbook will assist you in delivering TRICARE benefits and services At the time of publication, January 1, 2023, the information in this handbook is current
  • Waiver, payment deadlines extended for Tricare West Region - Military Times
    Beneficiaries now have until April 30 to obtain referral approval and point-of-service waivers and provide payment information to TriWest
  • Defense Health Agency Announces TRICARE West Region Referral Approval . . .
    During this waiver period, you should follow the rules of your TRICARE Prime plan, as described in the TRICARE Choices in the United States Handbook You can continue seeing your PCM to get referrals for specialty care—even if your PCM is not currently in TriWest’s network





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