Prior Authorization List Updated

TriWest Healthcare Alliance Corp. has revised the Prior Authorization List (PAL). Most of the changes were designed to clarify the language or highlight current authorization requirements. Effective May 1, 2009, all magnetic resonance angiographies (MRAs) require prior authorization.

As a reminder, all services provided by TRICARE civilian providers that are listed on the PAL must be reviewed for medical necessity and require prior authorization for all TRICARE programs administered by TriWest.

Please make sure to check the PAL frequently as it is updated as often as monthly when new codes are approved for industry use and/or as codes are updated on the Government No Pay List. Go to www.triwest.com/provider today to review the codes that require prior authorization.

One of the many benefits to TRICARE providers who register for the secure provider portal at www.triwest.com is the ability to check the real-time status of their referral and authorization requests. In addition, providers can check status for services that they have been authorized to provide. Online submission of referral and authorization requests will be available soon. To avoid any delays in accessing this exciting new feature, register today at www.triwest.com/provider.

Published Date: 03/27/2009