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Providers must have an approved referral/authorization on file before rendering care, unless the Veteran needs urgent or emergent care. The approved referral/authorization is the community carestarting point.
TriWest Healthcare Alliance is a Phoenix, Arizona based corporation that manages health benefits under the United States Department of Veterans Affairs (VA) VAPCCC program in Regions 3, 5, and 6....TriWest Healthcare Alliance. TypePrivateHeadquartersPhoenix, Arizona , U.S.Area servedVAPCCC Regions 1, 2, 3, 4, 5, and 65 more rows
TriWest has been serving eligible VA patients with care in the community since 2013.
General VA refers Veterans to community providers based on MISSION Act criteria, which are broader than PC3 criteria. TriWest is the primary customer service contact for Veterans. Customer Service VA is the primary customer service contact for Veterans.
With appointment confirmation, TriWest's systems generate an authorization letter with details on the approved episode of care. The authorization letter is mailed or faxed. For more information visit the TriWest Payer Space on Availity at www.availity.com.
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TriWest is VA's third party administrator for CCN Regions 4 and 5. CCN covers all U.S. states and territories with an established set of regional boundaries aligned to state borders to provide local flexibility and increased access to care.
TriWest Healthcare Alliance was founded in 1996 to provide active duty Service members, retirees, and their families access to quality health care under the Department of Defense TRICARE program.
Providers must verify patient eligibility online (log in to the Secure Portal) or through the automated self-service tools at 1-844-866-WEST (1-844-866-9378).
TriWest is the third-party adminstrator for the Department of Veterans Affairs (VA) Community Care programs. Veterans traditionally receive care through the VA's network of medical facilities.
Verify the card bearer's TRICARE eligibility online at www.tricare-west.com or by calling the Health Net Federal Services, LLC (HNFS) interactive voice response (IVR) system at 1-844-866-WEST (1-844-866-9378).

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