How to Get Credentialed with Humana in New Mexico
Quick Overview
Timeline
45 - 90 days
CAQH
Required
Re-credentialing
Every 3 year(s)
Delegated
Yes
New Mexico-Specific Requirements
Step-by-Step Enrollment Process
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for New Mexico.
Complete Your CAQH ProView Profile
Humana requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org and attest within 120 days.
Submit Your Application
Submit your completed enrollment package to Humana. You can start the process at their enrollment portal.
Track & Follow Up
Credentialing typically takes 45-90 days. Monitor your application status and respond promptly to requests for additional information.
Required Documents Checklist
ATTESTATION_FORM
Provider attestation form
Board Certification
ConditionalRequired if board certified; highly recommended
CV/Resume
5-year work history minimum; gaps > 6 months must be explained
DEA License
ConditionalRequired if prescribing controlled substances
Malpractice Insurance
Medical Degree
Medical License
NPI Certificate
Professional Reference
3 peer references required
W9_FORM
Required for EFT/tax reporting setup
Contact Information
Business Services
National1-800-232-2006
Mon-Fri 7am-7pm CT
Credentialing Inquiries
National1-800-626-2741
ERA/EFT via Availity
NationalClaims (Commercial)
National1-800-448-6262
Claims (Medicare)
National1-800-457-4708
Provider Appeals
NationalFax: 1-877-243-5813
EDI Support
Nationalprcredentials@humana.com
Fax: 1-866-423-6635