TRICARE covers the External Resource Sharing Agreement (ERSA) program by enabling military medical personnel, active and civilian personnel to provide covered medical services to active service and TRICARE beneficiaries at a network facility. A non-network provider is a civilian provider that is authorized to serve TRICARE beneficiaries but has not signed a network agreement. Off-grid suppliers meet TRICARE licensing and certification requirements and are certified by TRICARE to serve TRICARE beneficiaries. There are two types of non-network providers: participating providers and non-participating providers. A network provider is a civilian provider that has completed the registration process and signed a contract to be part of the network of suppliers participating in the TRICARE program. A network operator accepts the negotiated tariff as full payment for the services rendered. 1996 – The DoD divides the United States into 12 regions for TRICARE health care. Foundation Health receives TRICARE contracts in Regions 11 (Washington, Oregon, Idaho) and 6 (Texas, Oklahoma, Arkansas, Louisiana) as well as Regions 9, 10 and 12 (California, Arizona, Hawaii, Alaska). 2004 – Health Net Federal Services launches the Tricare North Next Generation Contract (TNex), a five-year contract with five one-year option periods. As a managed care support contractor for the TRICARE West region, HNFS employs approximately 3,100 people and provides health services to approximately 2.9 million people in uniform – active, retired, National Guard and Reserve members and their families.
1996 – Foundation Health Corporation (FHC) and Health Systems International, Inc. (HSI), the parent company of Health Net and QualMed, are entering into merger negotiations to strengthen market share and synergies to better serve customers in the future. The companies merged in 1997 to form Foundation Health Systems, Inc. (FHS). 2003 – The DoD consolidates the 12 TRICARE regions into three regions. Health Net Federal Services bids and wins the TRICARE North Region contract – the “next generation” of TRICARE contracts. The TRICARE North region includes: Connecticut, Delaware, District of Columbia, Illinois, Indiana, Kentucky (except Fort Campbell), Maine, Maryland, Massachusetts, Michigan, New Hampshire, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, Vermont, Virginia, West Virginia and Wisconsin. In addition, the treaty covers a small portion of Missouri and Iowa. Facilities in the network participating in ERSA must know the identification number of the military hospital or clinic or OPP for correct billing. 2013 – Health Net Federal Services celebrates its 25th anniversary as a Department of Defense Managed Healthcare Contractor. Health Net Federal Services, LLC (HNFS) is proud to be the Managed Care Support Contractor who has worked for over 30 years at the Department of Defense.
Doing the right thing has always been at the forefront of our decision-making. We work hard to serve our customers by leveraging the four key cornerstones of our business: honesty, accountability, transparency and integrity, and we continue to explore new ways to support our customers in meaningful ways. .