Referral Management Office
- The Referral Management Office supports care navigation for all Altus Medical Group enrollees.
- Referrals are requests for specialty services or procedures beyond the scope of the primary care manager.
What's the Referral Process for TRICARE Prime Enrollees at Altus Medical Group?
Your provider has requested a referral or consultation for specialty care. We strive to schedule your care here whenever possible. When capability or capacity is not available, the referral will be directed to a TRICARE network provider.
- If your care can be provided at a specialty clinic here, we'll will contact you within three business days to book your appointment.
- Three attempts will be made to contact you by phone. If those attempts are unsuccessful, you will be notified via the MHS GENESIS Patient Portal, where you can receive an email notification of the message.
- If you don't receive a call within three business days, please contact Altus Medical Group at 580-481-5235, Monday-Friday, 7:30 a.m. to 4:30 p.m.
Network Referrals
If the specialty care is unavailable, your referral will be processed by the Referral Management Office and sent to a TRICARE-authorized provider.
- You must login to the TriWest Beneficiary Portal to select from the listed provider options.
- If not selected within 30 days, the provider will be selected for you.
- View and print your authorization letter, which includes contact information for your approved provider.
- Network providers may not contact you. Authorization letters are no longer mailed to home addresses unless specifically requested.
The standard for scheduling an initial routine specialty care appointment is 28 days.
You can also sign up to receive text or email alerts about the status of your referral. Visit TRICARE West and click on “Beneficiary” under the “Register” tab.
For assistance before receiving your email or authorization, contact TriWest Customer Service at 888-874-9378, Monday-Friday, 9 a.m. to 7 p.m.
For Patients with Other Health Insurance or Medicare
- If you have OHI or Medicare (excluding Medicaid), TRICARE is the secondary payer only after a claim has been filed with your primary insurance.
- If you have questions or need help navigating this process, please contact your Referral Management Center for assistance.
Additional Resources
Referral Questions
Contact the Referral Management Office at 580-481-5382 or by message via the
MHS GENESIS Patient Portal, search “Altus Referral Management Center.
TRICARE Benefits
See the Health Benefits Advisors in the Referral Management Office at the clinic or call TriWest Customer Service at 1-888-874-9378.
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