Local

May 10, 2013

UnitedHealthcare, TRICARE take steps to expedite authorizations

TRICARE Management Activity is temporarily waiving the requirement for authorization of care in order to expedite service in its West Region, served by UnitedHealthcare. The waiver applies to any referrals obtained, or care received, from April 1 to May 18, 2013.

Referrals are typically entered electronically, generating an authorization from the managed care support contractor. While UnitedHealthcare works to clear pending referrals, West Region enrollees who are referred to a network specialist for TRICARE covered services will not need an authorization. Beneficiaries should request a written copy of their referral or ask their care provider to fax a copy to the specialist. The waiver does not apply to beneficiaries using TRICARE Standard.

UnitedHealthcare Military & Veterans began serving the TRICARE West Region April 1, 2013. Since then, the company has experienced referral and care authorization volumes that exceeded historical norms and related challenges processing them in a timely manner.

Effective immediately, referrals submitted by 412th Medical Group providers between April 1 and May 18, 2013 are authorized treatment in the TRICARE network without an authorization. When a provider determines the need for a medical referral to an off-base provider, enrollees will be sent to the 412th MDG Referral Management Center for assistance in booking appointments with a TRICARE network provider. Additionally, enrollees will be given a paper copy of their referral and the UnitedHealthcare waiver letter authorizing care. Please call the Referral Management Center at (661) 275-2259, if you have questions.

“UnitedHealthcare has committed the full resources of the company – at all levels and in all areas – to provide beneficiaries, care providers and Military Treatment Facilities with high-quality service and support,” said UnitedHealthcare Military & Veterans CEO, Lori McDougal. “We understand issues have arisen that need immediate improvement, and we are taking aggressive actions to fix them. We sincerely apologize for any delay in services that TRICARE beneficiaries and care providers are experiencing as a result of these challenges.”

West Region beneficiaries can get more information and sign up for updates at www.uhcmilitarywest.com or tricare.mil/westtransition




All of this week's top headlines to your email every Friday.


 
 

 

News Briefs August 1, 2014

Blood drive The next American Red Cross Blood Drive at Edwards AFB is 10 a.m.-4 p.m., Aug. 6 in the Chapel 1 Annex. Both walk-ins and appointments are accepted. To make an appointment you may contact the blood drive coordinators:†Senior Airman Joe Hernandez at joe.hernandez.8@us.af.mil or Senior Airman Sarah Bird at sarah.bird.2@us.af.mil. You may also...
 
 
Air Force photograph by Rebecca Amber

New AFTC Inspector General sworn in

Air Force photograph by Rebecca Amber Maj. Gen. Arnold Bunch Jr., Air Force Test Center commander, left, swears in the new Air Force Test Center Inspector General Col. Christopher Wheeler July 30 in Bldg. 1. Maj. Gen. Arnold W....
 
 
NASA photograph by Carla Thomas

Katherine Lott awarded NASA Armstrong employee scholarship

NASA photograph by Carla Thomas Katherine Lott, the recipient of the 2014 NASA Armstrong Employee Exchange Council Joseph R. Vensel Memorial Scholarship, is congratulated by NASA Armstrong center director David McBride. Flankin...
 

 
Lockheed Martin photograph by Tom Reynolds

F-35B successfully completes wet runway, crosswind testing

Lockheed Martin photograph by Tom Reynolds F-35B aircraft BF-4, piloted by Lockheed Martin Test Pilot Dan Levin, starts down the runway as part of wet runway and crosswind testing at Edwards AFB, Calif. In an important program ...
 
 
Air Force photograph by Edward Cannon

412thTW planning 2014 Disability Employment Awareness Month

Air Force photograph by Edward Cannon Chief of Staff of the Air Force General Mark A. Welsh III and his wife, Betty, congratulate Dan Osburn, Joint Strike Fighter Combined Test Force, chief engineer, during a commander’s ...
 
 
Air Force graphic

Existing tools help users reduce PII breaches

Air Force graphic New buttons will show up on Outlook e-mails as part of the new Digital Signature Enforcement Tool roll out. DSET helps users protect personally identifiable information by flagging possible PII in e-mails and ...
 




0 Comments


Be the first to comment!


Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>