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Referral/Authorization AutoFax Confirmation

Humana Military’s referral/authorization staff sends this autofax copy to providers to ensure that they have received notification of a confirmed referral or authorization for a TRICARE Prime beneficiary.

This autofax (see Figure 7.2) is generated to the requesting provider and may include a copy to the PCM on file, the specialist or group selected for the service, and the facility that may be used for services performed.
           
Autofax Confirmation Example

Fig. 7.2
Image of autofax confirmation
        
The autofax confirmation is issued at the time the referral/authorization has been approved. In most cases, providers receive this fax confirmation well before the TRICARE beneficiary makes an appointment.If this is an autofax confirmation for a new patient, your office should retain this item until the TRICARE beneficiary makes an appointment and then place it in the new patient chart.


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Last Update: July, 2007