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Thank you for Improving Consult Return Efficiency
(Article 1)
 

Humana Military’s Auto Fax Confirmations Ease the Process

Humana Military thanks providers for responding and complying with the consult return process. Members of the Provider Relations Department at Humana Military remarked that they were impressed with providers’ response and compliance. They specifically recognized the quicker response times and the increased number of providers responding to the auto fax confirmations containing initial requests.

Returning consult reports in a timely manner is very important to providing the best quality health care possible to TRICARE beneficiaries. This is especially true for those assigned to local military treatment facilities (MTFs) who are referred out to our network provider community for evaluation and treatment.

To help providers meet this requirement and expedite the consult return process, auto fax confirmations are issued at the time a referral/authorization has been established. For the MTF-assigned beneficiary referral, the auto fax confirmation includes a request to return the consult report to a specific fax number.

In most cases, providers receive this fax confirmation well before the TRICARE beneficiary makes an appointment. If it is an auto fax confirmation for a new or existing patient, providers should retain the confirmation until the TRICARE beneficiary makes an appointment and then place it with the patient’s chart.

The auto fax confirmation includes the referral/authorization number and the consult return fax number when applicable. Providers should use the direction given on the auto fax confirmation for consult reports unless no fax number appears. This is to avoid having providers send documentation on all other TRICARE beneficiaries.


A Few Reminders Regarding Consult Returns
  • If you are using a transcription service for your medical reports and you rely on them to return consults to Humana Military, be sure that they have the appropriate consult return fax number that is identified on the referral confirmation fax sheet for the patient.
  • Consult reports should be returned within 10 days following the patient’s appointment.
  • For urgent consults that need to get back to the primary care manager (PCM) within 24 hours, contact the PCM by phone and follow up by sending the formal consult report to Humana Military within the next 10 days.
  • For reports to be accurate and useful, please submit complete and legible documentation.
 


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