TRICARE

How to Get Credentialed with TRICARE East Region (Humana Military) in Kentucky

Network: Open
30-60 Days CAQH Required

Quick Overview

Timeline

30 - 60 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Kentucky-Specific Requirements

Humana Military manages TRICARE East for Kentucky. Humana Military is headquartered in Louisville, KY. Kentucky Board of Medical Licensure handles physician licensing. Accepted BH license types: LPCC, LCSW, LMFT. Kentucky requires state and national criminal background checks for licensure. Key installations served: Fort Knox, Fort Campbell (shared with TN), Blue Grass Army Depot.

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 Kentucky.

2

Complete Your CAQH ProView Profile

TRICARE East Region (Humana Military) 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 East Region (Humana Military).

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

Humana Military Provider Application

Online provider application for the TRICARE East region managed by Humana Military.

Required
Online Open →

Humana Military W-9 Submission

IRS W-9 tax identification form required for Humana Military provider enrollment.

Required

Contact Information

TRICARE East Credentialing

National

1-800-444-5445

TRICARE East Claims

National

1-800-444-5445

TRICARE East Appeals

National

1-800-444-5445

Need Help?

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