How to Get Credentialed with TRICARE East Region (Humana Military) in Massachusetts
TRICARE East Region (Humana Military) in Massachusetts: by the numbers
Verified figures for this state, not national averages.
- TRICARE region
- This state is in the TRICARE East Region. The East Region contractor is Humana Military (800-444-5445), a provider here seeking military-beneficiary patients contracts with Humana Military, not TriWest, which holds the West Region. Region assignments reflect the 2025 realignment.
Source: TRICARE.mil regions FAQ (10/23/2025) · Verified July 2026
Quick Overview
Timeline
30 - 60 days
CAQH
Required
Re-credentialing
Every 3 year(s)
Delegated
No
How TRICARE East Region (Humana Military) Credentialing Actually Works
Verified July 2026Apply Through
Humana Military
Timeline
Certification runs about 90 days
Recredentialing
Not published by the payer
The East region contractor is Humana Military. TRICARE is two tier: first get TRICARE certified (authorized) by your regional contractor, a federal step required in each state of service, which lets you treat Select, Reserve Select, and TRICARE for Life beneficiaries as a non network provider. Seeing Prime patients and being listed requires the second step, signing a network contract, which adds credentialing.
Behavioral health routing: Behavioral providers follow the same certify then contract path. ABA runs through a separate Autism Care Corporate Service Provider application.
The stall to avoid: Certification is not network participation. Many providers stop at authorized status and wonder why they are not in the directory: the network contract is a separate ask, and network intake can be closed for some specialties while open for behavioral health.
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.
Massachusetts-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 Massachusetts.
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 Massachusetts.
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
NPI Number Lookup
Verify your NPI number before applying to TRICARE East Region (Humana Military)
Timeline Estimator
Estimate credentialing timeline for TRICARE East Region (Humana Military) in Massachusetts
Readiness Checker
Check if you're ready for TRICARE East Region (Humana Military) enrollment
Related Articles
Can You Bill Retroactively After Credentialing? Medicare, Medicaid, and Commercial Payer Rules Explained
Can you bill retroactively? Medicare: 30 days back. Medicaid: varies by state. Most commercial payers: no. Payer-by-paye...
How Long Does Credentialing Really Take? Timelines by Payer, Specialty, and State
Medicare: 45-65 days. UHC: 60-90. Cigna: 60-120. Medicaid: 30-180 by state. Real timelines for 12 payers, plus 5 strateg...
Which Insurance Panels Should You Join First? A Data-Driven Prioritization Guide for New Practices
Do not credential with 12 payers at once. Prioritize by market share, reimbursement rate, and processing speed. Specialt...
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
Need Help?
Let PayerReady handle your TRICARE East Region (Humana Military) enrollment in Massachusetts.
Get Started NowTRICARE East Region (Humana Military) in Other States
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.