Gather all necessary documentation: your prescription, doctor’s notes detailing medical necessity, and your Tricare ID card. Missing information delays processing.
Use the correct forms. Download the appropriate prior authorization form from the Tricare website. Ensure you complete all sections accurately and legibly.
Submit your request through the appropriate channel. Tricare offers various submission methods: online portals, fax, or mail. Choose the method best suited to your needs; check the Tricare website for the most up-to-date contact information for each method.
Follow up on your request. After submission, allow the processing time indicated on the Tricare website. If you haven’t heard back within that timeframe, contact Tricare directly for an update using the contact information provided on their site. Provide your claim number for faster service.
Keep copies of all submitted documents. This helps expedite any necessary follow-up and aids in resolving any potential issues.
Understand potential denials. Tricare may deny your request if supporting documentation is insufficient or if the medication isn’t deemed medically necessary. Prepare to address any questions or concerns Tricare might have.
