Network Provider Referrals
What paperwork is required for civilian hospitals, clinics or providers outside Military Health System after receiving a referral from a Military Treatment Facility?
When the military treatment facility refers a patient to a civilian network provider, Clear and Legible Reports (CLR) must be submitted by the network provider within two business days from the encounter.
I am a network provider who has seen an Active Duty Service members or TRICARE Prime beneficiaries enrolled to a Military Treatment Facility (MTF) on Fort Campbell, Kentucky, when do I send in my records?
Urgent care center
CLRs must be submitted within two business days
of the encounter and shall include the patient’s encounter specifics (histories and physicals, progress notes, notes on Episodes of Care (EOC), other patient information (laboratory reports, x-ray readings, operative reports) and discharge summaries. In addition, the report will include any referrals made during the urgent care visit.
CLRs are due within seven business days
of care delivery and include consultation reports, operative reports and discharge summaries.
network providers must submit brief initial assessments within seven to ten business days
. Network providers must follow the instructions included on the referral authorization for Humana Military.
What fax number do I send my CLR to?
Where can I find the TRICARE Provider Handbook East Region 2021?
Open the following link to the TRICARE Provider Handbook East Region 2021