West Region Transition Contact Details
New TRICARE contracts start on Jan. 1, 2025. With this, your TRICARE West Region contractor will change 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
ends Dec. 31, 2024 |
www.tricare-west.com
- All online services
Through Dec. 31, 2024
- Limited services
Through June 30, 2025 (see below for details)
1-844-866-WEST (1-844-866-9378)
- All support except 2025 enrollment (Open Season)
Through Dec. 31, 2024
- Claims support for dates of service before Jan. 1, 2025
Through March 30, 2025
|
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| TriWest |
Health care delivery by TriWest starts Jan. 1, 2025 |
www.tricare.mil/west
- Secure online option to set up 2025 enrollment payments
As of Oct. 7, 2024
- TriWest’s provider directory
As of Nov. 1, 2024
- Secure beneficiary portal
As of Nov. 11, 2024
- All online services
Beginning Jan. 1, 2025
1-888-TRIWEST (1-888-874-9378)
- Support for 2025 enrollment only
Beginning Nov. 11, 2024 (start of Open Season)
- Full call center
Beginning Jan. 1, 2025 (see “Check Claim Status” below for exception)
|
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General and Enrollment
| I Need To... |
Which Contractor and When |
|---|
| Ask a general question about TRICARE |
- Contact HNFS through Dec. 31, 2024
- Contact TriWest beginning Jan. 1, 2025
|
|---|
| Enroll in TRICARE or make an enrollment change |
- If you have a qualifying life event (QLE) prior to Jan. 1, 2025, contact HNFS through Dec. 31, 2024
- If it’s during TRICARE Open Season (Nov. 11-Dec. 10, 2024) or you have a QLE on or after Jan. 1, 2025, contact TriWest
|
|---|
| Make an enrollment payment/set up automatic payments |
- If your enrollment payment is due before Jan. 1, 2025, contact HNFS through
Dec. 31, 2024
- If your enrollment payment is due on or after Jan. 1, 2025, contact TriWest
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 orbanking information. |
|---|
| Change my primary care manager |
- If the change will be effective before Jan. 1, 2025, contact HNFS through Dec. 31, 2024
- If the change will be effective on or after Jan. 1, 2025, contact TriWest after Jan. 1, 2025
|
|---|
Provider Network
| I Need To... |
Which Contractor and When |
|---|
| Find a provider or check if a provider is in the TRICARE network |
- If the provider will render services prior to Jan. 1, 2025, check HNFS’ directory through Dec. 31, 2024
- If the provider will render services on or after Jan. 1, 2025, check TriWest’s directory (available as of Nov. 1, 2024)
|
|---|
| Get added as a TRICARE provider |
- Check HNFS’ website for details about adding providers to existing groups or becoming non-network certified through Dec. 31, 2024
- Contact TriWest about joining the TriWest West Region network (to provide care on or after Jan. 1, 2025)
|
|---|
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 |
- If it’s before Jan. 1, 2025, submit to HNFS (Any unprocessed requests as of Jan. 1 will be transferred to TriWest, as applicable, for processing.)
- If it’s on or after Jan. 1, 2025, submit to TriWest
|
|---|
| Check referral or authorization status |
- If it’s before Jan. 1, 2025, check with HNFS
- If it’s on or after Jan. 1, 2025, check with TriWest
- 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 remain on www.tricare-west.com through Jan. 31, 2025.
|
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| Appeal a denied authorization |
- If it’s before Jan. 1, 2025, submit to HNFS
- If it’s on or after Jan. 1, 2025, submit to TriWest
|
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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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