Network Providers
Health Net Federal Services, LLC (HNFS) offers a Network TRICARE Provider Roster template for network provider groups to add newly affiliated providers or to submit demographic updates.
Important: Please do not submit Word or PDF versions of the template. HNFS can only process Network TRICARE Provider Rosters that are submitted as Excel documents.
Refer to the "Accessing the Template" information below for tips on downloading and using the template.
Check out our Network TRICARE Provider Roster Tutorial for a visual walkthrough on filling out the roster template and tips for avoiding common mistakes.
Exceptions
- Applied behavior analysis (ABA) providers (including behavior technicians): Visit our Submitting ABA Provider Rosters page for ABA provider specific guidelines.
- Providers with delegated credentialing agreements: Refer to the "Roster Submission Guidelines" section of our Credentialing Overview page for information on submitting rosters.
Submitting
- Complete all required columns in the template (refer to the "How to Complete" tab).
- Email the completed template to HNFS at PDMRoster@hnfs.com. Please allow HNFS up to 45 days to complete the initial roster process.
Credentialing
Once HNFS completes initial processing, providers in the roster who are currently credentialed will be linked to your network. Providers who require credentialing will start the credentialing process and require a fully completed CAQH Provider Data Portal (formerly CAQH ProView) profile.
HNFS issues credentialing determination letters to an organization's credentialing point of contact for each provider. You can check provider credentialing status using our Check Credentialing Status tool.
Accessing the Template
Click the link or template image above and save the Excel file locally to your computer. After completing all of the fields, save the file again and submit a copy following the instructions in the "How to Submit" tab.
- Created: Jan 5, 2024
- Modified: Jan 4, 2024
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Please complete the Provider Contract Questionnaire if you want to update your group's points of contact or email addresses. Fax completed forms to 1-844-836-5818.
- Created: Apr 11, 2024
- Modified: Apr 11, 2024
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The Network PIF for Individual Providers is a supplemental form that must be completed in addition to the CAQH Provider Data Portal (formerly CAQH ProView) credentialing application when joining HNFS’ TRICARE West Region network. The PIF captures information unique to TRICARE that is not addressed within the CAQH application. The PIF may NOT be used for demographic updates.
- Are you in a provider group and need to add more than five (5) providers? STOP. Do not submit a PIF. Instead, we strongly encourage you to submit a TRICARE Provider Roster to expedite the process. (We will accept rosters for less than five providers as well.)
- Are you an applied behavior analysis (ABA) provider (individual or group)? STOP. Due to specific requirements for the Autism Care Demonstration, we can only accept a TRICARE Provider Roster when adding ABA providers.
Please allow HNFS up to 21 days after receipt of a completed PIF to load providers into our systems, and up to 90 days to complete the credentialing process. You can check credentialing status using our Check Credentialing Status tool.
Return your completed PIF via fax to HNFS at 1-844-224-0381.
Be sure to use the fax cover sheet included in the form as the first page of your fax. Applications that do not have this cover sheet as the first page of the fax will not be processed.
- Created: Jan 9, 2024
- Modified: Jan 9, 2024
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