How to Get Credentialed with TRICARE East Region (Humana Military) in Maine
Quick Overview
Timeline
30 - 60 days
CAQH
Required
Re-credentialing
Every 3 year(s)
Delegated
No
Maine-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 Maine.
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.
Submit Your Application
Submit your completed enrollment package to TRICARE East Region (Humana Military).
Track & Follow Up
Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with TRICARE East Region (Humana Military)?
Our specialists handle the entire TRICARE East Region (Humana Military) enrollment process: applications, follow-ups, and approvals in Maine.
Required Documents Checklist
Board Certification
ConditionalRequired if board certified
CV/Resume
5-year work history minimum
DEA License
ConditionalRequired 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
Free Tools for Your TRICARE East Region (Humana Military) Enrollment
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Key Credentialing Terms
- CAQH
- The Council for Affordable Quality Health Care, an organization that maintains a universal provider database (CAQH ProVi...
- Credentialing
- The process of verifying a healthcare provider's qualifications, training, licensure, and professional background to ens...
- Effective Date
- The date on which a provider's enrollment or network participation becomes active, allowing them to begin billing a paye...
- NPI
- The National Provider Identifier is a unique 10-digit identification number issued by CMS to healthcare providers, requi...
- Primary Source Verification
- The process of verifying a provider's credentials directly from the original issuing source, such as medical schools, li...
- Provider Enrollment
- The process by which a healthcare provider applies to participate in an insurance payer's network, allowing the provider...
- Re-credentialing
- The periodic process, typically occurring every three years, in which a provider's credentials are re-verified to ensure...
Credentialing Checklist
Make sure you have everything ready before applying to TRICARE East Region (Humana Military).
View Physician Credentialing Checklist →Contact Information
TRICARE East Credentialing
National1-800-444-5445
TRICARE East Claims
National1-800-444-5445
TRICARE East Appeals
National1-800-444-5445
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Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.