Updates to Your Provider Group?
Tuesday, July 30, 2024
revised Dec. 19, 2024
Health Net Federal Services, LLC (HNFS) conducts credential reviews on all network providers to determine if providers meet the minimum requirements of the Defense Health Agency, HNFS and URAC. All practitioners must complete the HNFS credentialing process, which can take up to 90 days. As we transition out from our current TRICARE West Region contract, please note the following key dates. We are proud to continue partnering with our provider network to serve military families throughout the remainder of our TRICARE contract.
New network providers
HNFS will no longer accept new contracts for all provider types, except for autism, lactation providers and doulas as of July 31, 2024. We will no longer accept new contracts for all provider types as of Oct. 1, 2024.
Additions to existing network groups
- For provider groups who are directly credentialed by HNFS: With exception to the Autism Care Demonstration and Childbirth and Breastfeeding Support Demonstration, HNFS will no longer accept new practitioner additions or new facility locations as of Aug. 31, 2024.
- For provider groups who have a delegated credentialing agreement: We will continue to accept new practitioner additions submitted to us on rosters through Dec. 15, 2024.
Updating demographic information
Letting us know about demographic updates as soon as possible helps expedite accurate claims processing! We will continue to accept demographic updates and terminations submitted via our Network TRICARE Provider Roster template through Dec. 31, 2024. If you need to update demographics for claims processing purposes (for example, address changes) after this date, our Update Demographics web tool will be available through June 30, 2025.
Questions?
We offer answers to frequently asked questions (FAQ) about updating your information in the “Network Providers” section of our FAQs.
Reminder! Providers who have questions about being a network provider for services rendered after Dec. 31, 2024, will need to contact TriWest Healthcare Alliance.
