1.10.18 With so much confusion centering on Tricare East, it’s worth remembering that Tricare West also had an important change–not a new region, but a new contractor. Their MCS contractor has moved from UHC Military to Health Net Federal Services. West region providers who are not already contracted with Health Net Federal Services (HNFS) may need to fill out a new Tricare West enrollment packet. However, doctors may still choose to see Tricare patients as a non-network provider, but Prime patients will need a referral or prior auth to go to a non-networking provider for care. You’ll also want to register for the secure provider portal where you can look up eligibility, submit authorizations, and check claim status.
Below are some helpful links to get you started!
- Becoming a Tricare Provider: Click here
- Health Net Federal Services enrollment packet: Click here
- Non-Networking Provider Information: Click here.
- Registration for Secure Provider Portal: Click here.
- Information on claims submission: Click here
- EDI information: Click here
- Frequently Asked Questions: Click here
Claims for dates of services on or before December 31, 2017 should still be submitted to UnitedHealthcare Military. In addition, myTRICARE.com will continue to be available for account information and claims submission through April 30, 2018. However, all claims for dates of service on or after January 1, 2018 must be filed to Health Net Federal Services, but HNFS will honor all active referrals and authorizations issued by UHC Military prior to January 1.
Tricare West Region: Alaska, Arizona, California, Colorado, Hawaii, Idaho, Iowa (except the Rock Island Arsenal area), Kansas, Minnesota, Missouri (except the St. Louis area), Montana, Nebraska, Nevada, New Mexico, North Dakota, Oregon, South Dakota, Texas (areas of Western Texas only), Utah, Washington, and Wyoming.
