Tricare : Add on codes / Requesting changes

Use this form to request certain changes to active outpatient authorizations and referrals. The provider submitting this form must be listed as the requesting or servicing provider on the approval notice. 

1. Click on AUTHORIZATIONS

2. Click on REQUEST A CHANGE
3. Fill in all the required fields

Fill in all the required fields

Last updated on: 10/24/2024 DP