TRICARE West for Providers

Five Things to Know

  1. HNFS has begun efforts to re-enroll beneficiaries to previous UnitedHealthcare PCMs who recently joined the HNFS network. 

  2. New!  View/print the West Region Transition: Provider Issues FAQ and Provider Demographic Update Tool guides. Find these and other printable resources on our Quick Reference Charts page. 

  3. Care under the TRICARE Prime Referral Waiver was valid through June 30, 2018. In most cases, continued specialty care requires an approved PCM referral, however, not all specialty care requires HNFS approval. Check our Prior Authorization, Referral and Benefit Tool before submitting your request. 

  4. Learn to easily submit referral and authorization requests: We have live webinars, a video tutorial or printable user guides.  

  5. Check credentialing status online. If you asked to join our network, check credentialing status for an individual (Type 1) National Provider Identifier (NPI) or Type 2 NPI for facilities and ancillary providers. Credentialing may take 60–90 days.