Sometimes certain types of specialty care and prescription drugs require special review called prior authorization to make sure they are right for the patient. Prior authorization is a standard ...

Prior authorization is a review of a requested health care service by your regional contractor to see if TRICARE will cover it. Under the new rules for TRICARE Prime, your PCM may refer you to a ...

As a general rule, visiting relatives and friends who are not TRICARE beneficiaries are ... as they do not require a prior authorization for most inpatient and outpatient services.

The TRICARE Service Center at Tripler Army ... view referrals and prior authorizations, find a doctor and even schedule appointments and more. Christie Thies, military family member, says ...

Humana will partner with Cohere Health in an effort to streamline prior authorization for musculoskeletal treatments across 12 states. Cohere's platform allows for prior authorization approval for ...

It will initially serve approximately 2 million members and more than 3,500 physician practices. The platform includes: Authorizations that begin with diagnoses and not billing codes Facilitating ...

The companies announced Wednesday that their partnership has entered a new phase — one which will focus on streamlining the prior authorization process. In this phase, Epic and Humana will ...

COLORADO SPRINGS — In the new year, military families covered by TRICARE insurance will need prior authorization for non-emergency services at Children's Hospital Colorado (Children's Colorado).

Humana is expanding its real-time prior authorization (PA) platform to its providers in all 50 states. The planned rollout comes less than one year after the company launched a 12-state pilot ...