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

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

Need Help?

Let PayerReady handle your Humana credentialing and enrollment.

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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.

Faster Approvals

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Join providers in all 50 states who handed off credentialing to a dedicated specialist. Create your free account in minutes and start enrolling the same day.

All 50 States Covered
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