Sanctioned Billing Services

Every month, Defense Health Agency's Office of Program Integrity will provide Health Net Federal Services, LLC (HNFS) an up-to-date list of excluded third party individuals/entities including billing agents. This list comes from the U.S. Department of Health and Human Services (DHHS). Individuals and entities appearing on this list are prohibited from billing all federal health care programs including TRICARE.

What does this mean for providers?

Any provider who uses a sanctioned billing agent on the DHHS’s List of Excluded Individuals/Entities will have their claims returned unprocessed. Returned claims may be resubmitted directly to TRICARE or through a non-sanctioned billing agent.

Providers can check the status of their billing agents by visiting the DHHS Office of Inspector General website. Enter part of the name or the entire name of the billing agent in the Business Name section to check the status of your current billing agent or a billing agent you are considering using in the future.