TRICARE Network Provider Credentialing

Health Net Federal Services, LLC (Health Net) is a full participant in the Council for Affordable Quality Healthcare (CAQH®) Universal Credentialing Datasource® (UCD) initiative. The Universal Credentialing Datasource is an online tool that streamlines the credentialing process for network providers, allowing them to submit a universal application to CAQH for distribution to authorized health plans, for example, Health Net. The application meets most of the credentialing data requirements of participating health plans and healthcare organizations. There is no cost to submit an application and participate with CAQH.

In addition to the CAQH application, TRICARE network applicants (does not apply to TRICARE Standard provider applicants) must also submit a supplemental Provider Information Form. This supplemental form is information unique to TRICARE and not addressed within the CAQH application.

After updating your CAQH information online, complete the Provider Information Form and mail or fax it to the addresses listed below. (Note: Behavioral health providers should visit the MHN website and click on Join Our Network for questions about joining the behavioral health TRICARE network and the MHN credentialing process. Behavioral health providers should not use the Provider Information Form.)

Do you know CAQH also makes adding providers to your network group quick and easy?

Just have new members of your group update their CAQH profile and submit a supplemental Provider Information Form and mail or fax it to the addresses below.

If your new group member is not registered with CAQH, simply complete the short supplemental Provider Information Form, forward it to Health Net and they will be invited by CAQH to participate in its process.

You may mail or fax your completed PIF.

  • Mailing Address:   
    Health Net Federal Services, LLC/TRICARE
    Attn: Provider Network Management
    PO Box 9710
    Virginia Beach, VA 23450-9710

  • Fax:

Note: Use the Taxonomy Codes when completing TRICARE network provider applications as well as other health care provider documents. If your specialty does not appear, please visit the Washington Publishing Company website for more information on Taxonomy Codes.