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Servicios primarios de WMMC
Clínicas de medicina familiar
Clínicas de Medicina Interna
Pediatría
Western Missouri Medical Center se enorgullece de atender a los pacientes de TRICARE.
Centro médico del oeste de Missouri is proud to serve TRICARE patients and is here to guide you through the process of specialty care referrals. Understanding your referral, knowing your responsibilities, and using the correct resources ensures your care is timely, authorized, and covered.
Who Manages Your Care
509 MDG (Medical Group): Manages your healthcare and primary care services.
TriWest: Manages your TRICARE benefits, including specialty care referrals. They process authorizations, assign providers, and handle claims.
Important Contacts
TriWest – TRICARE Benefits
1-888-874-9378
Call for questions about:
Referral authorizations or denials
Specialty provider assignments
Claims or billing
509 MDG – TOPA Flight
1-660-687-2188 (Option 3 → Option 1 → Option 2)
Call for questions about:
Referrals placed by your MDG provider
Unresolved billing issues
Referral Management Center (RMC)
1-660-687-2188 (Option 3 → Option 1)
Call to cancel a referral you do not intend to use
Preguntas frecuentes
Do I have to use a network provider?
Yes. Using a TRICARE-authorized network provider helps avoid unnecessary out-of-pocket costs.
How do I share medical records with my civilian provider?
Call 660-687-2102 to speak with a medical records specialist at the 509 MDG. They can provide the information your civilian provider needs.
Who requests approval for off-base care?
Civilian specialists submit requests to TriWest when labs, surgeries, or procedures require prior approval.
How to Manage Your Referrals
The easiest way to manage your TRICARE specialty care referrals is through the TriWest portal:
Ir a tricare.triwest.com.
Create a Beneficiary Account if you haven’t used the portal before.
View and manage your specialty referrals online.
Verify that your referral has been approved.
For questions about denials, call TriWest at 1-888-874-9378.
Check which civilian specialist is assigned.
To select a different provider, use the “Change My Provider” button or contact TriWest directly.
Consejo: Always verify that your referral is authorized before attending appointments or completing procedures. TriWest is responsible for authorizing all PCM referrals, surgeries, procedures, and tests. Do not rely on your civilian provider to confirm authorization.
Planning Your Care
Following these steps helps you:
Avoid delays in care
Ensure services are properly authorized
Prevent unnecessary out-of-pocket costs
By understanding your TRICARE benefits, using network providers, and verifying authorizations, you can focus on your health while Western Missouri Medical Center and TriWest manage the administrative details.