PAYER READY CREDENTIALING & COMPLIANCE
Commercial

Humana

Credentialing and enrollment guides for Humana across 51 states.

45-90 days CAQH Required Re-credential every 3 yrs

Quick Overview

Timeline

45 - 90 days

CAQH

Required

Re-credentialing

Every 3 year(s)

States Available

51

How Humana Credentialing Actually Works

Verified July 2026

Timeline

Providers contracted only on Humana Medicare products joining non delegated groups get a network effective date 30 calendar days after all required documentation is received

Recredentialing

At least every 36 months, with quarterly CAQH re-attestation reminders

CAQH ProView is mandatory (Arkansas excepted): a current, complete, attested profile with Humana granted access. The incomplete or unauthorized CAQH profile is Humana's dominant credentialing delay.

Behavioral health routing: Behavioral health is in house through Humana Behavioral Health Network, a wholly owned Humana subsidiary covering all 50 states, not an external carve out vendor.

The stall to avoid: Availity handles claims and eligibility but NOT credentialing status: application status lives on a phone line, (800) 626-2741. Keep CAQH attested quarterly and answer information requests fast.

From PayerReady's payer enrollment research, built from the payer's own provider manuals and enrollment pages. Payer processes change; when a fact is not published by the payer, we say so rather than guess.

About Humana

Major national payer. CAQH ProView is mandatory. Uses Availity for transactions and Quickbase for new provider requests.

How to Get Credentialed

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.

2

Complete Your CAQH ProView Profile

Humana requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org.

3

Submit Your Application

Submit your completed enrollment package to Humana. Select your state below for state-specific submission details.

4

Track & Follow Up

Credentialing typically takes 45-90 days. Monitor your application and respond promptly to requests for additional information.

Free Consultation

Need help enrolling with Humana?

Our specialists handle the entire Humana enrollment process: applications, follow-ups, and approvals across all 50 states.

Required Documents

ATTESTATION_FORM

Board Certification

Required if board certified; highly recommended

CV/Resume

DEA License

Required if prescribing controlled substances

Malpractice Insurance

Medical Degree

Medical License

NPI Certificate

Professional Reference

W9_FORM

Enrollment Forms

CAQH ProView

Universal credentialing application used by most commercial and BCBS payers.

Online Download

Humana Provider Application

Online Download

Contact Information

Business Services

1-800-232-2006

Mon-Fri 7am-7pm CT

Credentialing Inquiries

1-800-626-2741

ERA/EFT via Availity

1-800-626-2741

Claims (Commercial)

1-800-448-6262

Claims (Medicare)

1-800-457-4708

Provider Appeals

1-800-626-2741

Fax: 1-877-243-5813

EDI Support

1-800-626-2741

prcredentials@humana.com

Fax: 1-866-423-6635

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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.

Need help enrolling with Humana?

Our credentialing specialists handle the entire enrollment process: applications, follow-ups, and approvals across all 50 states.

Free consultation. No commitment required.

Select Your State

Choose your state for Humana-specific credentialing details including timelines, contacts, and local requirements.

Humana credentialing requirements by state

Humana enrollment is not identical everywhere. The table below lists what actually differs across the 51 states Humana operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.

Humana credentialing requirements by state
State Local plan MA members Network Portal / phone State-specific notes
Alaska Humana 20,687 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Alabama Humana 387,165 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Arkansas Humana 188,710 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Arizona Humana 254,957 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
California Humana 249,691 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Colorado Humana 182,414 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Connecticut Humana 29,399 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
District Of Columbia Humana 5,934 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Delaware Humana 24,221 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Florida Humana 1,312,529 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Georgia Humana 428,184 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it (CAQH sends quarterly re-attestation reminders). The application requires your NPI, DEA number, state license number(s), and a signed attestation; organizations also provide EIN/TIN and each practitioner's NPI and CAQH number. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Hawaii Humana 20,660 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Iowa Humana 110,462 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Idaho Humana 65,116 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Illinois Humana 522,762 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it (CAQH sends quarterly re-attestation reminders). The application requires your NPI, DEA number, state license number(s), and a signed attestation; organizations also provide EIN/TIN and each practitioner's NPI and CAQH number. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage. Illinois has a distinct Humana Gold Plus Integrated (Medicare-Medicaid Alignment Initiative) program with its own provider resources.
Indiana Humana 336,586 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Kansas Humana 79,687 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Kentucky Humana 366,774 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Louisiana Humana 297,350 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it (CAQH sends quarterly re-attestation reminders). The application requires your NPI, DEA number, state license number(s), and a signed attestation; organizations also provide EIN/TIN and each practitioner's NPI and CAQH number. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage. Louisiana Medicaid providers route through Humana Healthy Horizons in Louisiana, a separate Medicaid managed-care network.
Massachusetts Humana 57,409 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Maryland Humana 137,217 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Maine Humana 39,047 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Michigan Humana 355,833 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Minnesota Humana 92,172 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it (CAQH sends quarterly re-attestation reminders). The application requires your NPI, DEA number, state license number(s), and a signed attestation; organizations also provide EIN/TIN and each practitioner's NPI and CAQH number. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Missouri Humana 244,692 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Mississippi Humana 194,382 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Montana Humana 85,428 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
North Carolina Humana 719,085 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it (CAQH sends quarterly re-attestation reminders). The application requires your NPI, DEA number, state license number(s), and a signed attestation; organizations also provide EIN/TIN and each practitioner's NPI and CAQH number. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
North Dakota Humana 25,864 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Nebraska Humana 61,838 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
New Hampshire Humana 68,523 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
New Jersey Humana 193,148 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
New Mexico Humana 69,850 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Nevada Humana 124,079 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
New York Humana 147,606 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Ohio Humana 379,378 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Oklahoma Humana 194,157 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Oregon Humana 70,216 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Pennsylvania Humana 214,027 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Rhode Island Humana 6,216 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
South Carolina Humana 269,355 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
South Dakota Humana 22,578 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Tennessee Humana 322,422 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it (CAQH sends quarterly re-attestation reminders). The application requires your NPI, DEA number, state license number(s), and a signed attestation; organizations also provide EIN/TIN and each practitioner's NPI and CAQH number. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage. In Tennessee, Humana operates Medicare HMO coverage via the legacy Cariten Health Plan; credentialing follows the national CAQH process.
Texas Humana 740,286 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Utah Humana 95,275 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Virginia Humana 399,480 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Vermont Humana 28,288 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Washington Humana 229,365 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Wisconsin Humana 227,457 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
West Virginia Humana 184,477 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.
Wyoming Humana 19,906 Open Provider portal
800-626-2741
Humana credentials providers through CAQH ProView. Begin by submitting a contracting request; a Humana contracting representative then sends the required documents. You must maintain a current, complete CAQH ProView application and authorize Humana to access it. The application requires your NPI, DEA number, state license number(s), and a signed attestation. Humana directs providers to Availity Essentials for online self-service. You are notified of the Credentials Committee decision within 30 calendar days, and receive a letter confirming your effective date once approved. Recredentialing occurs at least every 36 months. Humana's network is heavily oriented to Medicare Advantage.

MA member counts: CMS Monthly Enrollment by Contract/Plan/State/County (2026-07), verified July 2026. Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified June 10, 2026. Network status changes without notice — confirm before you file.

Common questions about Humana credentialing

How long does Humana credentialing take?

Humana credentialing typically takes 45–90 days from a complete submission to an approved effective date. Incomplete applications are the main cause of delay: a missing document or an unattested CAQH profile restarts the clock rather than pausing it.

Does Humana require CAQH?

Yes. Humana pulls provider data from CAQH ProView, so your profile must be complete, attested and shared with Humana before the application can move. CAQH re-attestation runs on a 120-day cycle, and a lapsed attestation stalls both new enrollments and recredentialing.

Which states does Humana operate in?

Humana has credentialing operations in 51 states. 51 of those 51 currently show an open panel. Requirements are not uniform: local plan names, provider portals and state-specific conditions differ, which is what the state-by-state table above records.

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