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Hours of Operation:
8:00 a.m. - 4:30 p.m.
Contact Phone Number: 804-734-2273
The Referral Management Center in Kenner handles referrals from on-post Primary Care Managers. This office can help customers if: person is on Active Duty with a referral or the person is enrolled in Prime here and wants to be seen at another military treatment facility.
Obtaining Referrals
Anytime a patient needs to obtain services outside of their Primary Care Manager the patient must get a referral or authorization to seek care outside of Kenner.
A referral is the process of sending a patient to another professional provider for consultation or a health care service that the patients Primary Care Manager believes is necessary but is not prepared or qualified to provide
The referral requirements are based on where the beneficiary resides (within a Military Treatment Facility Prime Service Area versus a non-Military Treatment Facility Prime Service Area), the beneficiary category (TRICARE Prime versus TRICARE Standard) and if in TRICARE Prime, whether the beneficiary has a military or civilian PCM.
Specialty Care
Make an appointment with your Primary Care Manager (PCM) to obtain a referral. Extensions for current referrals may be generated by the civilian provider you are seeing with TRICARE, as long as it is treatment for the same diagnosis.
Referrals: The Referral Management Center (RMC) in Kenner handles referrals from on-post PCMs. The RMC can help you if you are Active Duty with a referral or you are enrolled in Prime and want to be seen at another military treatment facility. Go to the RMC before leaving the clinic if your PCM has given you an Urgent or ASAP referral for assistance. If you receive a routine referral to a civilian provider, HealthNet will mail you an authorization letter within 7 -10 days. Once you have received this letter, you must make an appointment with a civilian provider. Follow the instructions in this letter. You may call the RMC at 734-2273 with questions.
Unauthorized Care: TRICARE Prime enrollees must obtain authorization for specialty care from their PCM. Dependents will be charged Point of Service, $300.00 deductible and 50% of the remaining charge, for any services not authorized by the PCM. Active Duty will be liable for the entire amount. No retroactive referrals can be issued! | |
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