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You can complete your own request in 3 ways: Enter the tricare id for the patient for whom the referral or. Web enter new request for referral or authorization,Read more
(1) Complete RFS form 10-10172. (2) Attach appropriate medical records and care plan to support the request. (3) Have the ordering provider sign and date theRead more
Instructions: Enter any of the following: prior authorization number or referral number, mammography pre-certification number, or ClinicalRead more