Active duty service members (ADSMs) using TRICARE Prime or TRICARE Prime Remote require prior authorization for all inpatient and outpatient services from a civilian network or non-network provider.

This is to ensure ADSMs continue to meet fitness-for-duty requirements as a result of outpatient visits, such as pregnancy (maternity) care, physical therapy, mental health services, family counseling and smoking cessation programs.

If you don’t obtain a prior authorization when one is required, or exceed the scope of an approved prior authorization, you risk not being paid or being charged a penalty.

Obtaining Prior Authorization in the South Region

You can request a prior authorization in one of the following three ways:
 

• Submit a request online.
• Fax a completed Patient Referral Authorization Form (PRAF) to 1-877-548-1547.
• Call a Health Care Finder at Humana Military’s TRICARE Service Line at 1-800-444-5445.

You can check the status of your prior authorization request online or by calling the TRICARE Service Line at 1-800-444-5445. Humana Military’s referral/authorization staff also sends an autofax confirmation to providers to ensure they have received notification of a confirmed authorization for a TRICARE Prime beneficiary. 

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Last Reviewed:  February 7, 2007