There are two ways to submit a request for an authorization or referral to Health Net Federal Services, LLC (Health Net): online or manually by fax or mail.
The online authorization and referral tools offer quick and easy submission and status tracking of prior authorizations, referrals, and inpatient and discharge notifications. Registration at www.hnfs.com is required for providers and staff to use the tools. Visit our registration page to sign up today.
Have a question about your request? Visit our Online Authorization and Referral Tools Assistance page.
The TRICARE Service Request/Notification form can be faxed or mailed to Health Net. You can click and type in each form field to complete the form without having to handwrite the information. If you are faxing information for multiple beneficiaries, separate each beneficiary's information with the fax separator page. To assist you with completing the TRICARE Service Request/Notification form, you can refer to the form completion guidelines.
Outpatient Service Request form
Outpatient fax number: 1-888-299-4181
Inpatient Admission Notification or Pre-certification Services:
Inpatient Service Request form
Inpatient fax number: 1-877-809-8667
Our mailing address for requests is:
Health Net Federal Services, LLC
Authorizations and Referrals
P.O. Box 105423
Atlanta, GA 30348-5423
Please note: When submitting a request for services, the sponsor's Social Security number must be included on the request.
When submitting your request you will want to prioritize the type of care, for example routine, urgent or emergent care, as this will help ensure the request is processed appropriately. View our Prioritizing a Prior Authorization or Referral Request page for more information.