Welcome

How to Submit an Authorization or Referral Request

Avoid extra work and first check if HNFS approval is needed
 

  1. Check requirements. Use our Prior Authorization, Referral and Benefit tool

  2. Is it a limited benefit? Check to see if we offer a Letter of Attestation you can attach instead of clinical documentation. This will expedite the review process!

  3. Is it an ancillary service, such as diagnostic radiology or laboratory tests? Our TRICARE Ancillary Services list will tell you if you need approval from HNFS. Most ancillary services do not require an approval; however, for TRICARE Prime patients, the services must be ordered by the primary care manager or a specialist the patient was approved by HNFS to see. 

Submit your request online

If you'd like to learn more about submitting online requests, watch our CareAffiliate® video tutorial, use our step-by-step guides and/or consider attending one of our provider webinar presentations

CareAffiliate (requires login) Web Authorization/Referral Form (WARF) 
(does not require login)

Key features of this option include:

  • Get an immediate response
  • Use for outpatient and inpatient requests
  • Check status 
  • Save frequently used providers, request profiles and diagnosis lists
  • Add attachments

After clicking the "Submit" button below, you will be directed to our secure portal. From there, click on "Submit Authorization Request" to access CareAffiliate.

Tip: Use our step-by-step CareAffiliate Guide as a resource.

Key features of this option include:

  • Use without website registration
  • Print and save a PDF of the response

This tool is for outpatient requests only.

Tips:

  • Use our step-by-step WARF Guide and Request Type Guide.
  • Use the provider lookup feature when requesting a provider.
  • Do not select "multi-specialty" as a specialty. This will delay processing of your request.

Requesting changes to existing referrals/authorizations

Check the status of your request

HNFS processes routine requests within 2–5 business days of receiving the request. Urgent requests are processed in an expedited manner for care that needs to be delivered within 72 hours. Requests are processed using the clinical information submitted by the provider. Processing time for both routine and urgent requests may be delayed if sufficient information is not provided.

Visit our Check Authorization and Referral Status tool to check the status of your request and view a copy of your authorization/referral letter.