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A referral is the process of sending a patient to another professional provider when the requested service is outside the scope of practice for the referring provider.
An authorization is a request for services, a procedure, or admission to a hospital or facility that should be obtained before any service is given or by the next business day after an emergency admission.
Submitting referral and authorization requests online via the secure provider portal at TriWest.com/provider is the fastest, most efficient way to submit your requests and for quick processing. More info »
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TriWest provides reason code descriptions with information regarding referral/authorization status. Registered users can view authorizations for all locations, search by provider last name or NPI or by patient. View an online referral/authorization status website demonstration.
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