Welcome Logout

Credentialing: Submission Checklists

CAQH

Read the following questions to determine if you have completed the provider roster requirements. Answering yes to these questions indicates you have met the requirements. 

Have you created a CAQH Provider Data Portal (formerly CAQH ProView) account?
Did you receive notification from CAQH that you were added to the HNFS roster? 
Did you log in to the CAQH Provider Data Portal website and complete the application?
Did you authorize HNFS to access your CAQH Provider Data Portal application information?
Is all of your CAQH Provider Data Portal application information complete and current? 
Did you include an image of your Professional Liability Insurance in your CAQH Provider Data Portal application?

Network TRICARE Provider Roster Template

Refer to the following tips when completing our Network TRICARE Provider Roster Template. Also refer to the "How to Complete" tab on the template. For more tips, watch our Network TRICARE Provider Roster Tutorial. 

Required fields: Complete all fields marked with an asterisk, as this means the information is required. Leaving required fields blank will cause the roster to fail.
Non-required fields: If you choose to not complete these, leave the field blank. Do not enter “N/A” or “pending.”
PCM or specialist: Enter only a “P” or “S”; any other term will cause the roster to fail.
Degree: Enter the specific Degree Code exactly as it appears on the "Degree Reference Tool" tab (for example PA used for physician assistant); any other term will cause the roster to fail.
Specialty 1/Specialty 2: Use the naming convention exactly as it is listed in the "Subtype" column on the "Taxonomy to Specialty" tab; any other verbiage will cause the roster to fail.
Taxonomy Code for Specialty 1/Specialty 2: Enter the taxonomy code for the specialty that is found in the "Taxonomy" column on the "Taxonomy to Specialty" tab.

Address:

  • This must match the U.S. Postal Service (USPS). Check addresses through the Look Up a ZIP Code tool at www.usps.com.
  • You do not need to include suite, floor, building, tower, or plaza information.
Phone number: Enter the number patients use to make appointments.
Fax: Enter the number for receiving authorization notification faxes.
Location National Provider Identifier (NPI): Type II Organization NPI; Matches NPI listed in Remittance NPI
Hospital-based: Identify provider's main location
Location urgent care center (UCC)?: Enter “Y” or “N” only. 
Location convenient care clinic (CCC)?: Enter “Y” or “N” only. 
Location outpatient physical, occupational or speech therapy (PT, OT, ST): Enter “Y” or “N” only. 
Military reserve status: Enter “Y” or “N” only. If your organization does not capture, enter N.
Behavior technicians: Email all supporting documents (basic life support/cardiopulmonary resuscitation certification, criminal history background check) along with completed provider roster.
File name: When saving the roster file, use a naming convention that includes the group name, TIN, roster type, and submission date (For example: First Health_123456789_monthly_09.02.2021).