= Required Field
This tool is to check credentialing status of a specific facility or a specific individual provider and not an entire group or clinic. Do not use this tool as confirmation of network status; rather, refer to your Provider Participation Agreement or contact your practice administrator.*
Per the terms of the Provider Participation Agreement, network providers cannot treat TRICARE patients prior to HNFS’ (or its delegate's) credentialing committee approval date.
*Credentialing status is different than Network status. Please refer to your Provider Participation Agreement for network status and effective date. If you were credentialed PRIOR to the contract effective date, your effective date with the group is the date of the group contract. If you were credentialed AFTER your contract effective date, your network effective date is the date you were credentialed. If you still have questions, please contact our Customer Service department. (If your group has a delegated credentialing agreement, contact your group’s credentialing department.)
Note: 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 before or on this date. We recommend checking XPressClaim prior to submitting claims.