West Region Transition Contact Details
New TRICARE contracts started on Jan. 1, 2025. With this, your TRICARE West Region contractor changed from Health Net Federal Services, LLC to TriWest Healthcare Alliance. Use the guide below to help you understand which contractor can help you with your TRICARE-related questions.
| West Region Contractor |
Health Care Delivery |
How to Contact |
|---|
| HNFS |
Health care delivery by HNFS ended
Dec. 31, 2024 |
www.tricare-west.com
- Limited services only (see below for details)
- Availbale through June 30, 2025
1-844-866-WEST (1-844-866-9378)
- Claims support for dates of service before Jan. 1, 2025 only
- Available through March 30, 2025
|
|---|
| TriWest |
Health care delivery by TriWest started
Jan. 1, 2025 |
www.tricare.mil/west
1-888-TRIWEST (1-888-874-9378) (see “Check Claim Status” below for exception)
|
|---|
General and Enrollment
| I Need To... |
Which Contractor and When |
|---|
| Ask a general question about TRICARE |
Contact TriWest beginning Jan. 1, 2025.
|
|---|
| Enroll in TRICARE or make an enrollment change |
Contact TriWest beginning Jan. 1, 2025.
|
|---|
| Make an enrollment payment/set up automatic payments |
Contact TriWest beginning Jan. 1, 2025.
IMPORTANT: If you currently pay via credit card or electronic funds transfer, you will need to re-establish these payments with TriWest. HNFS cannot transfer confidential credit card or banking information. |
|---|
| Change my primary care manager |
Contact TriWest beginning Jan. 1, 2025.
|
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Provider Network
| I Need To... |
Which Contractor and When |
|---|
| Find a provider or check if a provider is in the TRICARE network |
As of Jan. 1, 2025, check TriWest’s directory.
|
|---|
| Get added as a TRICARE provider |
Contact TriWest about joining the TriWest West Region network (to provide care on or after Jan. 1, 2025).
|
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Claims
| I Need To... |
Which Contractor and When |
|---|
| Submit a claim |
- If the date of service is before Jan. 1, 2025, submit to HNFS through April 30, 2025
- If the date of service is on or after Jan. 1, 2025, submit to TriWest
- Submit to TriWest regardless of date of service beginning May 1, 2025
|
|---|
| Check claim status |
- If the date of service is before Jan. 1, 2025, and the claim was submitted to HNFS by April 30, 2025, check with HNFS:
- By phone through March 30, 2025
- Online through June 30, 2025
- If the date of service is before Jan. 1, 2025, and the claim was submitted to TriWest on or after May 1, 2025, check with TriWest
- If the date of service is on or after Jan. 1, 2025, check with TriWest
- Check with TriWest regardless of date of service beginning May 1, 2025
|
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| Appeal a denied claim |
- If the date of service is before Jan. 1, 2025, submit to HNFS through April 30, 2025
- If the date of service is on or after Jan. 1, 2025, submit to TriWest
- Submit to TriWest regardless of date of service beginning May 1, 2025
|
|---|
Referrals/Authorizations
| I Need To... |
Which Contractor and When |
|---|
| Submit a referral or authorization request |
As of Jan. 1, 2025, submit all requests to TriWest.
|
|---|
| Check referral or authorization status |
- As of Jan. 1, 2025, check with TriWest (even if the request was submitted to HNFS)
- TriWest will accept HNFS-issued referrals and pre-authorizations through their expiration date or June 30, 2025, whichever comes first
- TriWest will accept Autism Care Demonstration referrals and pre-authorizations through the date issued by HNFS
- NOTE: HNFS’ Check Authorization Status tool will be available through Jan. 31, 2025
|
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| Appeal a denied authorization |
As of Jan. 1, 2025, submit to TriWest (even if the request was denied by HNFS).
|
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Website
| I Need To... |
Which Contractor and When |
|---|
| Access my secure portal |
Access some HNFS-specific secure tools at www.tricare-west.com past Dec. 31, 2024, including:
- Authorization status (through Jan. 31, 2025)
- Claims status (through June 30, 2025)
Visit www.tricare.mil/west for information on TriWest’s secure portal.
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