Faxing to the Correct Fax Number
In order to avoid delays in processing your referral and authorization and other requests, please be sure that you are using the correct TriWest fax number.
| Request Type | Fax Number |
|---|---|
| Behavioral Health Prior Authorization Requests | 866-269-5892 |
| Case Management Patient Referral Form | Northwest Hub – Washington, Oregon, Alaska, N. Idaho 1-866-269-5881 Southwest Hub – California, Nevada, Yuma, Arizona 1-866-269-5828 Mountain Hub – Arizona, El Paso Texas, New Mexico, Utah, Montana, S. Idaho 1-866-269-5819 Central Hub – Colorado, Nebraska, Minnesota, Iowa, N Dakota, S Dakota, Wyoming, Missouri, Kansas 1-866-312-5840 Hawaii Hub – Hawaii 1-866-269-5814 Corporate Office – All Transplant, Hospice and Cancer Clinical Trial Referrals 1-866-269-5758 |
| Condition Management Notification Form | 866-312-5839 |
| Consult Tracking | Refer to the servicing provider referral/authorization approval letter or fax cover sheet for appropriate fax number. |
| Medical/Surgical Referral Authorization Requests | |
| Referral/Authorization Request for Prime and Standard beneficiaries | 866-269-5892 |
| Referral/Authorization Request for TRICARE Prime Remote and TRICARE Reserve Select | 866-312-5831 |
| Referral/Authorization Request for Hospice, Transplant and Cancer Clinical Trials | 866-269-5758 |
If you have any other questions about faxing to TriWest, please refer to www.triwest.com or call 1-888-TRIWEST (888-874-9378).