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 February 27, 2015

Library closure The Base Library will be closing early Feb. 28 for an official function. Hours of operation will be 10:30 a.m. to 3 p.m. that day. For more information, call 661-275-2665. Blood drive The next American Red Cross Blood Drive on Edwards AFB is 10 a.m.-4 p.m., March 4 in the Chapel 1 Annex. Both...
 
 

Just American: A century of Black life

Black History Month, or National African American History Month, is an annual celebration of achievements by black Americans and a time for recognizing the central role of African Americans in U.S. history. The event grew out of “Negro History Week,” the brainchild of noted Harvard-trained historian Carter Woodson. Since 1976, every U.S. president has officially...
 
 

Leadership development program nominations due March 16

Nomination packages for majors and major-selects interested in the Defense Department 2015-2016 Executive Leadership Development Program are due to the Air Force Personnel Center by March 16, officials announced. The program, designed specifically for highly motivated officers who have demonstrated outstanding leadership ability, commitment to public service and integrity, and who have an inter...
 

 
Air Force photograph by Bobbi Zapka

C-12 pilots take to skies at Edwards

Air Force photograph by Bobbi Zapka Edwards AFB is home to the U.S. Air Force C-12 school house. Referred to as a split school house, when an individual is assigned to fly an Air Force C-12 Huron, they spend three weeks in Alab...
 
 
Air Force photograph by Jim Varhegyi

AF senior leaders caution against sequestration

Air Force photograph by Jim Varhegyi Air Force Chief of Staff Gen. Mark A. Welsh III answers a question about the fiscal year 2016 President’s Budget request during a hearing of the Senate Appropriations Subcommittee on D...
 
 

Soldier, retirees win big with Exchange’s ‘Your Holiday Bill Is On Us’ contest

The Army & Air Force Exchange Service made dreams come true for three grand-prize winners of the MILITARY STAR® “Your Holiday Bill Is On Us” sweepstakes—and for one young Soldier from Fort Bliss, winning has changed her life. As a grand-prize winner, Sgt. Kakala Loketi had her MILITARY STAR® account paid in full. During a...
 




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>