TRICARE

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

Network: Open
30-60 Days CAQH Required

Quick Overview

Timeline

30 - 60 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Utah-Specific Requirements

TriWest Healthcare Alliance manages TRICARE West for Utah. Utah Division of Occupational and Professional Licensing handles physician and BH licensing. Accepted BH license types: LMFT, LCSW, CMHC. Utah requires BCI criminal background checks for initial licensure. Key installations served: Hill AFB, Dugway Proving Ground, Tooele Army Depot, Camp Williams.

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 Utah.

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.

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
Open →

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

Quick Links

TRICARE West Region (Health Net Federal) Website Provider Portal

Need Help?

Let PayerReady handle your TRICARE West Region (Health Net Federal) enrollment in Utah.

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TRICARE West Region (Health Net Federal) in Other States

Alaska Arkansas Arizona California Colorado Hawaii Iowa Idaho Kansas Missouri

Other Payers in Utah

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Regence BlueCross BlueShield of Utah Utah Medicaid UnitedHealthcare Community Plan
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