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TRICARE West Region Provider Claims Guidelines Start by reviewing and submitting the forms below from the TRIWEST – TRICARE payer space on Availity or Provider Forms section under Claims Submission instructions are located within the guides
TRICARE West Region Provider Forms TRICARE West Region Potential Quality Issue Form Non-Network Provider Application TRICARE Non-Network Autism Care Demonstration (ACD) (BCBA, BCBA-D and LBA) Individual Application Non-network TRICARE Provider File Group Application Referrals and Authorizations Online referrals auths is the fastest way to process care requests for your TRICARE
Forms Claims - TRICARE Forms Claims Browse our forms library for documentation on topics like enrollment, pharmacy, dental, and more Do you need to file a claim yourself? Go to Filing Claims to find links to claims forms and learn more about filing medical, pharmacy, and dental claims
Provider Forms - TRICARE West This is the main page for provider forms Most of the forms a provider might need are available on this page
Claims - TRICARE File TRICARE claims in the West Region for care on or after January 1, 2025
Welcome TRICARE West Providers If you are currently seeing a TRICARE patient who has a referral waiver in place, you can continue providing that care until September 30 After that, if care continues, you must follow standard referral requirements
TRICARE Claims Instructions Electronic claim submission is required for TRICARE network providers and encouraged for non-network providers Claims submitted electronically are less likely to be rejected compared to paper claims
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
Claims Processing and Billing Information - tricare. triwest. com On behalf of the DOD, TriWest is the third party administrator (TPA) and payer for the TRICARE West Region TriWest partners with claims processor PGBA to process and pay claims to TRICARE providers who have rendered services to beneficiaries in accordance with TRICARE policies and procedures