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Become a TRICARE Provider

Health Net Federal Services, LLC (HNFS) welcomes the opportunity to support our service members and their families in the TRICARE West Region and invites you to join our provider network.

Visit our Provider FAQs to learn more about the states we serve, becoming a TRICARE provider, adding providers to an existing practice, authorizations, and claims. 

Join Our Network

HNFS currently completes processing of clean claims for our TRICARE providers in less than five days and offers online self-service tools to streamline your TRICARE transactions. Our TRICARE network providers agree to use web-based tools to check beneficiary eligibility, validate whether a service requires prior authorization, submit prior authorization and referral requests and submit claims electronically.

Provider Types How to Join
Professional providers (other than ABA) include medical doctors and doctors of osteopathy (MDs/DOs), physician assistants (PAs) nurse practitioners (NPs), urgent care providers psychiatrists, psychologists and masters-level mental health providers and physical, speech and occupational therapists (PTs, STs, OTs).  Contact us for more information.
Applied behavior analysis (ABA) providers include TRICARE-authorized Board Certified Behavior Analysts® (BCBAs), BCBA-doctoral (BCBA-Ds), licensed behavior analyst (LBA) or other qualified TRICARE-authorized independent providers with a scope of practice for independent practice of ABA.

Groups and sole providers: Complete and return via fax or U.S. mail the Network ABA Provider Participation Packet and TRICARE Provider Group Roster.

Individual providers joining a group already contracted with HNFS: Complete our TRICARE Provider Group Roster.

Do not submit individual Provider Information Forms. 

Facilities and ancillary type providers include hospitals, ambulatory surgical centers, hospices, skilled nursing facilities, psychiatric facilities, and home health agencies, durable medical equipment and medical supply companies.  Contact us for more information.

 

Welcome Toolkit

New to our West Region network? Access our Welcome Toolkit for important resources.

 

Credentialing 

HNFS is required to conduct a credentials review on each network provider to determine if the provider meets the minimum requirements of the Defense Health Agency, HNFS and URAC. As part of the provider agreement process, medical, surgical and/or mental health care providers must complete this HNFS credentialing process.

All providers must verify their CAQH® profile allows for global access or specifies that HNFS can access their CAQH record.

 

Delegated credentialing

Provider groups who have their own credentialing department can allow HNFS to delegate the credentialing to the group. Visit our Network Provider Frequently Asked Questions to learn more. 
 

Credentialing status

Providers can check their credentialing status online. Enter the individual (Type 1) or facility/ancillary (Type 2) National Provider Identifier (NPI). 

  • Behavior technicians (BTs): While BTs are certified and not credentialed, providers 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. Individual BTs will not display in the TRICARE West Region Network Provider Directory and are not available to check their status online. 

Note: Credentialing status is different than network status. Please refer to your Provider Participation Agreement for network status and effective date. (If your group has a delegated credentialing agreement, contact your group’s credentialing department for your contract execution date.)

 

Non-Network Providers

Providers not interested in joining our network can still support our military by becoming a non-network provider. TRICARE-authorized providers must meet specific licensing and certification requirements, and be certified by TRICARE to provide care under the TRICARE program.