TRICARE

How to Get Credentialed with TRICARE West Region (Health Net Federal) in Idaho

Network: Open
30-60 Days CAQH Required

Quick Overview

Timeline

30 - 60 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Idaho-Specific Requirements

TriWest Healthcare Alliance manages TRICARE West for Idaho. Idaho State Board of Medicine handles physician licensing. Accepted BH license types: LPC, LCSW, LMFT. Idaho requires criminal history checks for initial licensure; standard federal checks apply. Key installations served: Mountain Home AFB, Gowen Field (Boise).

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Idaho.

2

Complete Your CAQH ProView Profile

TRICARE West Region (Health Net Federal) requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org and attest within 120 days.

3

Submit Your Application

Submit your completed enrollment package to TRICARE West Region (Health Net Federal).

4

Track & Follow Up

Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.

Free Consultation

Need help enrolling with TRICARE West Region (Health Net Federal)?

Our specialists handle the entire TRICARE West Region (Health Net Federal) enrollment process: applications, follow-ups, and approvals in Idaho.

Required Documents Checklist

Board Certification

Conditional

Required if board certified

CV/Resume

5-year work history minimum

DEA License

Conditional

Required if prescribing controlled substances

Malpractice Insurance

Current malpractice insurance certificate

Medical License

Active state medical license required

NPI Certificate

Active NPI number required

Enrollment Forms

TriWest Provider Application

Online provider application for the TRICARE West region managed by TriWest Healthcare Alliance.

Required
Online Open →

Health Net Federal Provider Agreement

Provider participation agreement for Health Net Federal Services TRICARE West network.

Required

Key Credentialing Terms

CAQH
The Council for Affordable Quality Health Care, an organization that maintains a universal provider database (CAQH ProVi...
Credentialing
The process of verifying a healthcare provider's qualifications, training, licensure, and professional background to ens...
Effective Date
The date on which a provider's enrollment or network participation becomes active, allowing them to begin billing a paye...
NPI
The National Provider Identifier is a unique 10-digit identification number issued by CMS to healthcare providers, requi...
Primary Source Verification
The process of verifying a provider's credentials directly from the original issuing source, such as medical schools, li...
Provider Enrollment
The process by which a healthcare provider applies to participate in an insurance payer's network, allowing the provider...
Re-credentialing
The periodic process, typically occurring every three years, in which a provider's credentials are re-verified to ensure...

Credentialing Checklist

Make sure you have everything ready before applying to TRICARE West Region (Health Net Federal).

View Physician Credentialing Checklist →

Contact Information

TRICARE West Credentialing

National

1-844-866-9378

TRICARE West Claims

National

1-844-866-9378

TRICARE West Appeals

National

1-844-866-9378

Need Help?

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Reviewed by the PayerReady Credentialing Team

Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.

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