Provider Credentialing

Overview

Learn more about our provider credentialing process on our Credentialing Overview page.

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Use our Provider Type Requirements tool to review requirements for specific provider types.

Add a New Provider

Use our Network TRICARE Provider Roster template to add a new provider.

Term (Remove) a Provider

Use our Network TRICARE Provider Roster template to remove a provider from your provider group.

Update Demographics

Use our Network TRICARE Provider Roster template to update individual provider or organization information.

Use CAQH Provider Data Portal

Access CAQH Provider Data Portal (formerly CAQH ProView) for managing credentialing-related administrative information.

(Minnesota Providers Only) Use Minnesota Credentialing Collaborative

Access Minnesota Credentialing Collaborative to manage your credentialing-related administrative information.

(Washington Providers Only) – Now Use CAQH

OneHealthPort ProviderSource is transitioning to CAQH for managing credentialing-related administrative information.

Check Credentialing Status

Use this tool to check credentialing status of a specific facility or a specific individual provider. (Note: Behavior technicians are not included in HNFS' credentialing status tool.)

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Frequently Asked Questions

Find answers to providers' most frequently asked questions about credentialing.

Submission Checklists

These submission checklists can help you ensure you have included all requirements before submitting an application to us.

How to Complete the Network TRICARE Provider Roster Template

View our short video tutorial that walks you through completing the template and offers tips for avoiding common mistakes.

TRICARE Provider Exclusions

TRICARE Operations Manual, Chapter 13, Section 5 details providers excluded from TRICARE credentialing.

Autism Care Demonstration

Learn more about the Autism Care Demonstration and provider participation requirements.

Childbirth and Breastfeeding Support Demonstration

Learn more about the Childbirth and Breastfeeding Support Demonstration and provider participation requirements.

TRICARE-Authorized Provider Types

TRICARE Policy Manual, Chapter 11, Section 1.1 defines TRICARE-authorized provider types. Not all provider types may be credentialed. Use our “Provider Type Requirements" tool to look up requirements.

Delegation

Learn more about HNFS' process for delegation.