Referral/Authorization Decision Support (RADS) Tool

The RADS tool can be utilized to identify if healthcare services:
- Are a TRICARE benefit
- Require a Primary Care Manager referral
- Require a prior authorization and medical necessity review.

The tool indicates when to send requests and/or appropriate documentation to TriWest for processing.

Choose effective date:

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Beneficiary's (Patient) Plan Type:

The beneficiary refers to the actual patient potentially receiving care. Select that beneficiary’s TRICARE plan.