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Web Speeds Up Referral and Authorization Requests (Article 10)

Wouldn’t it be nice to obtain a referral or authorization for your TRICARE patients in as little as five minutes? You can.

Once you’ve become a registered user of the Humana Military Web site (www.humana-military.com), you and your staff members can enter a new referral or authorization request online.

An online referral or authorization can be accomplished in as little as five minutes, compared with potential telephone and fax referral wait times. One reason the online system is so efficient is that it automatically completes much of the information needed for you. The majority of online referrals and authorizations are approved on the spot and can be done while the patient is still in the office.

Providers can access the online referral and authorization section of the site by going to www.humana-military.com, clicking on “Provider Resources,” “Online Provider Services” and then on the “Online Referrals and Authorizations” links.
If you are used to doing referrals and authorizations by fax or telephone, you may want to view the online tutorial available in the “Online Provider Resources” section. 

In addition to shortening the initial referral and authorization process, the online system offers several other advantages.  It lets you check the status of an existing referral or authorization, get a list of provider services, search for specialists and look up diagnosis and procedure codes.

The specialist search feature lets you search by ZIP code and specialty to find the closest provider for a given service. Or you can let the system find the most appropriate provider for you by inputting the patient’s demographic information, Social Security number and diagnosis

If you are unsure of a diagnosis code when building the referral or authorization request, you can use the system’s diagnosis code look-up feature. Just enter a description that fits the diagnosis and the system will match the description to the proper code.

If you haven’t already done so, you can become a registered user of the Humana Military Web site by clicking the “Sign Up” link on the right-hand side of the Online Provider Services page and following the prompts given by the “User Sign up Wizard.” Keep in mind that only network providers have access to the referral/authorization screens.

File Your Claim on the Web
For secure, fast, error-free electronic claims processing, go to Online Provider Services at www.humana-military.com to register for and use eZ TRICARE Claims. Your staff will be happier and your cash flow will improve. A winning combination.

Can’t Find It on the Web
The Humana Military Web site (www.humana-military.com) now features a new search engine that finds answers to your TRICARE questions with greater speed and accuracy than ever before. It uses cutting-edge technology to understand questions and match them with relevant answers found within the TRICARE information on the Web site.


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