Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with TRICARE West Region (TriWest Healthcare Alliance) before sending sensitive documents. FaxFlow is not affiliated with this organization.

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TRICARE West Region (TriWest Healthcare Alliance) fax number

(866) 852-1893

TRICARE West Region – Provider Referrals/Authorizations

Used for: Submitting patient referrals/authorization requests via fax; the West Region processes these using the TRICARE West Region Referral/Authorization Form.

Fax destination details

Department
TRICARE West Region – Provider Referrals/Authorizations
Purpose
Submitting patient referrals/authorization requests via fax; the West Region processes these using the TRICARE West Region Referral/Authorization Form.
Form
Patient Referral/Authorization Form — TRICARE West Region Patient Referral/Authorization Form
Address
P.O. Box 2606, Virginia Beach, VA 23450

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Complete the form; return the completed form via fax to 866-852-1893.

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