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How to Submit an Authorization or Referral Request

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Coronavirus (COVID-19) testing reminder:
 TRICARE covers medically necessary and appropriate testing. An approval is not required from HNFS.

Avoid extra work and first check if HNFS approval is needed

  1. Have you checked requirements? Use our Prior Authorization, Referral and Benefit tool

  2. Is it a limited benefit? Check if we offer a Letter of Attestation you can attach instead of clinical documentation. This will expedite the review process!

  3. Is it an ancillary service, such as diagnostic radiology or lab tests? Our TRICARE Ancillary Services list tells you if you need an approval from HNFS. Most ancillary services do not require an approval.

Submit your request online

Learn more by watching our CareAffiliate® video tutorial, using our step-by-step guides and/or attending one of our provider webinars

CareAffiliate (requires login) Web Authorization/Referral Form (WARF) 
(does not require login)

Key features of this option include:

  • Get an immediate response
  • Use for outpatient and inpatient requests
  • Check status 
  • Save frequently used providers, request profiles and diagnosis lists
  • Add attachments (see below if you use IE 11 as your browser)

In the Secure Portal, click on "Submit Authorization Request" to access CareAffiliate.

Tip: Use our step-by-step CareAffiliate Guide as a resource.

Key features of this option include:

  • Use without website registration
  • Print and save a PDF of the response

This tool is for outpatient requests only.

Tips:

Internet Explorer 11 and Attachments
 

Effective Jan. 12, 2021: Due to Adobe's support of Flash Player ending, if you use Internet Explorer (IE) 11 as your web browser, you must take the following steps to be able to add attachments in CareAffiliate:

  1. In the upper right corner of your browser window, click on the tools icon.
  2. Select "Manage add-ons."
  3. Select "Show: All Add-ons."
  4. Look for Shockwave Flash Object and select that application.
  5. Click on the "Disable" button and close the window.
  6. If you haven't already, log out from CareAffiliate.
  7. Close and reopen your Internet Explorer browser. 

You do not need to do these steps if you use Chrome. 

Requesting changes to existing referrals/authorizations

Check the status of your request

Routine requests are processed within 2–5 business days. Urgent requests, for care needed within 72 hours, are expedited based on the clinical information submitted. Processing time may be delayed if sufficient information is not provided.

Use our Check Authorization and Referral Status tool to check the status of your request and view a copy of your authorization/referral letter.

Need help?  Watch our Check Authorization Status tutorial or download a printable guide.