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Network Providers

(Network) How do I check my credentialing status?

HNFS will notify you once credentialing is completed. You can also check your credentialing status or last credentialing effective date using our Check Credentialing Status tool*. 

If you are currently undergoing initial credentialing or re-credentialing, please make sure your CAQH profile is current and you have authorized HNFS to access your profile. Credentialing and re-credentialing are valid for three years.

*Behavior technicians (BTs) are certified and not credentialed. Do not use the online Check Credentialing Status tool for BTs, as the results may not be accurate. Behavior technicians can begin to see patients on their national or state certification date as long as the group has an executed network agreement by that date. We recommend providers wait 45 days after submission of a roster to submit claims. 


(Network) How do I update the following demographics: address, phone number or fax number? 

You can update your address, phone number or fax number by using the Provider Demographics Update tool or our TRICARE Provider Roster.


(Network) How do I update my specialty information?

In order to update your specialty information, first make sure your information is listed correctly in the National Plan & Provider Enumeration System (NPPES). If correct, use our Update Specialty Tool to request specialty changes. 

  • ABA providers updating their specialty (for example, RBT to BCaBA or BCaBA to BCBA) must submit a completed TRICARE Provider Roster


(Network) How do I change my Tax ID or Social Security number? 

You can update your Tax ID or Social Security number (SSN) by faxing in a completed W-9 with a letter on company letterhead to HNFS. Network provider updates can take up to 21 days and non-network provider updates can take up to 30 days.  


(Network) How do I add a provider to my network practice?

To add a provider to your network practice who has been credentialed by Health Net Federal Services, LLC (HNFS) within the last three years:

  • Complete our Provider Information Form*. Network providers must be re-credentialed by HNFS every three years. Provider groups who would like to add 20 or more individual providers can complete the TRICARE Provider Roster rather than a PIF for each provider.

To add a provider to your network practice who has not been credentialed by HNFS:

*ABA providers should not complete the PIF, but instead email a completed TRICARE Provider Roster, regardless of the number of providers in the group. 

It can take HNFS 90 days to credential a new provider once all completed information is received based upon the accuracy of the information provided.  

If your group has a delegated credentialing agreement, see our Delegated Provider page.


(Network) How do I add a location to a group?

You can add a location using the Provider Demographics Update tool or our TRICARE Provider Roster.


(Network) How do I remove a provider from my group practice?

You can remove a provider using our Provider Demographic Update Tool.

  • Providers not registered on www.tricare-west.com can complete our TRICARE Provider Roster to request this change.

If your group has a delegated credentialing agreement, see our Delegated Provider page. 


(Network) What are the requirements for a TRICARE Certified Mental Health Counselor?

Visit our Mental Health Counselor Provider Requirements page to learn about the requirements.


(Network) What is the role of a network provider?

Network providers serve an important role in TRICARE by complementing the services offered by military hospital and clinics. Network providers are civilian providers of choice for most TRICARE beneficiaries, and as a result, will typically receive higher TRICARE patient volume than non-network providers. A network provider agrees to a negotiated rate as payment in full for services rendered.


(Network) What states are in the TRICARE West Region?

The TRICARE West Region is comprised of 21 states: Alaska, Arizona, California, Colorado, Hawaii, Idaho, Iowa (except the Rock Island Arsenal area), Kansas, Minnesota, Missouri, (except the St. Louis area), Montana, Nebraska, Nevada, New Mexico, North Dakota, Oregon, South Dakota, Texas (areas of Western Texas only, including Amarillo, Lubbock and El Paso), Utah, Washington, and Wyoming. 


(Network) What is CAQH® and am I required to update my information with them?

HNFS uses CAQH for its provider network application and credentialing process. CAQH is a not-for-profit alliance of the nation’s leading health plans, including HNFS. All providers are required to complete a CAQH online application (and keep their information current), except those located in Idaho, Hawaii, Minnesota, and Washington, as an alternate to CAQH is available. (These states have special circumstances and the credentialing process can be completed with another entity.) 


(Network) What is a delegated group?

HNFS recognizes that many provider groups have their own credentialing department to verify individual provider requirements such as licensure, education, professional liability insurance, adverse sanctions, etc. If you are a provider group with its own credentialing department, consider expediting the TRICARE West Region network credentialing process by allowing HNFS to delegate credentialing to you. This will allow HNFS to use the credentialing data you have already collected, which can be submitted to HNFS in an electronic format. 

By delegating the majority of the credentialing process to the provider group, rather than HNFS, the credentialing process is streamlined. Groups are able to submit practitioners on a TRICARE Provider Roster (rather than individual Provider Information Forms), which allows for a quicker turnaround time to get practitioners through the network approval process and loaded into HNFS’ systems.

See also our Delegated Credentialing fact sheet.


(Network) What happens after a group is approved for delegated credentialing?

Once approved by HNFS’ Credentialing Committee, HNFS will request a full and up-to-date provider roster from the group. Visit our Delegated Provider page for more information.


(Network) How often are delegated groups required to send HNFS a full roster?

HNFS requires delegated groups submit a full TRICARE Provider Roster via email at least quarterly (every 90 days). Per the delegated credentialing agreement, groups should submit full rosters within 10 days of their quarterly credentialing committee meetings. 


(Network) When should delegated groups send practitioner additions, demographic updates and/or practitioner terminations?  

HNFS recommends delegated groups send TRICARE Provider Roster updates a minimum of once a month; however, we will accept updates weekly or even daily. If there are no changes in a given month, we ask groups still send an email indicating “no updates to report.”