Prior Authorization, Referral & Benefit Tool

The Prior Authorization, Referral and Benefit Tool allows you to easily determine if an approval from Health Net Federal Services, LLC (HNFS) is required. Simply select the beneficiary's TRICARE plan option* (for example, TRICARE Prime or TRICARE Prime Remote), the beneficiary type (for example, active duty service member), servicing provider type (for example, network or non-network) and the specific service being requested.

Search for patient
Sponsor SSN:
Patient First Name:
Patient Last Name:
Patient DOB:

Beneficiary (Patient) Plan Type:
Is the beneficiary an active duty service member (ADSM)?:
Is the beneficiary dual-eligible under both Medicare and TRICARE?:
Does the beneficiary have any other health insurance as primary coverage (not including Medicare)?:
Select primary care manager (PCM) type.:
Is the servicing Provider network or non network:
Is care being provided by the PCM/family doctor?:
Place of service:
Choose any of the below:
Choose any of the below:
The Service Code entered is for