For Providers

EFFECTIVE OCTOBER 1, 2023
CHANGES TO REFERRAL AND AUTHORIZATION REQUIREMENTS: 

UPDATED 9/1/2023! Pursuant to new TRICARE reporting requirements, the Martin’s Point US Family Health Plan will require that referrals to other providers or specialists be submitted to the health plan. Specialists who are referring to another specialist will be required to submit a referral. Read More 

EFFECTIVE MAY 11, 2023  
OUT-OF-NETWORK PRIOR AUTHORIZATION CHANGE:

Martin’s Point Health Care will now manage ALL prior auths (including radiation treatments) for out-of-network providers or facilities. Please use the TruCare ProAuth™ portal to submit out-of-network requests.

For questions regarding provider network status, call Martin's Point Provider Inquiry 1-888-732-7364.

REMITS UPLOADED TO PORTAL:

Please allow 24 to 48 hours from date of receipt of checks/EFTs for the remits to be uploaded to the Provider Portal.