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Reminder: Return Consult Reports within 10 Days  (Article 6)

Consult reports must be returned to the primary care manager or initiating provider within 10 working days of seeing a patient. For routine specialty referrals for initial office visits and all outpatient and inpatient services, you must provide complete
and legible documentation for these reports to be accurate and useful.
 
Returning consult reports, operative reports and discharge summaries to the initiating provider is important for timely follow-up and continuity of care. Please be responsive to the request when asked to return a consult report for TRICARE beneficiaries.
 
Providers who treat TRICARE beneficiaries coming from the local military treatment facility may receive a faxed reminder or a  all to return a consult report for a recent visit or service. Your office should return the consult report, operative report or discharge summary as requested. Please use the fax reminder as the cover sheet and dial the fax number listed on the reminder page.

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TRICARE Now Covers Lap-Band® Surgery (Article 7)
A recent change in TRICARE policy now allows you to offer your TRICARE patients fighting morbid obesity the option of laparoscopic adjustable gastric banding (Lap-Band surgery). Patients 100 pounds or more over their ideal body weight with certain associated severe medical conditions, as well as those who weigh 200 percent or more of their ideal body weight, may be eligible for the procedure.
 
This policy change is retroactive to Feb. 1, 2007. For more information on surgery for morbid obesity, go to Chapter 4, Section 13.2 of the TRICARE Policy Manual.

  
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Contacts (Article 8)
Humana Military
1-800-444-5445 
www.humana-military.com  		Pharmacy Customer Service
1-866-DoD-TRRx (retail)
1-866-DoD-TMOP (mail order)
www.express-scripts.com/TRICARE

ValueOptions (behavioral health)
1-800-700-8646
National TRICARE Web Sites
www.tricare.mil

Update DEERS
1-800-538-9552
http://www.tricare.mil/deers/default.cfm

PGBA (claims)
1-800-403-3950
 

  
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Created: February 20, 2008