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TRICARE Provider Group Roster

Rather than submitting an individual Provider Information Form, Health Net Federal Services, LLC (HNFS) offers a TRICARE Provider Group Roster* for:

  • Provider groups joining the HNFS network who have 20 or more individual providers they wish to credential.
  • Existing network providers who would like to make changes to demographic or credentialing information to 20 or more individual providers.
  • Groups who have a delegated credentialing agreement with HNFS, regardless of the number of individual providers. 
  • ABA providers (including behavior technicians) who need to submit provider roster information to HNFS, regardless of group size.

Complete all columns in the spreadsheet and submit to HNFS via email to PDMRoster@hnfs.com.

  • Delegated providers: Visit our Delegated Provider page for details on how to submit rosters.

See our Roster Help page for additional details. Please allow up to 90 days for processing (45 days for loading certified BTs).  

HNFS will issue a determination letter to the credentialing point of contact for each practitioner once the credentialing process has completed.

*In order to access the roster, click the link above and save the Excel file locally on your computer. After completing all of the fields, save the file again and submit a copy to the email address above. 

  • Created: Mar 26, 2020
  • Modified: Mar 26, 2020
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