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Humana's Forms and Manuals

Manuals & Forms

When you want to access a form, check a manual, or review a rejection code, you’ll find it helpful to have all these materials in one place.

Download these helpful reference materials

Payer sheets, manuals, ethics information, enrollment forms, manuals, rejection code descriptions – when you need this kind of information, you don’t want to go looking for it. That's why they're all here for your convenience.

Payer Sheets

Pharmacy Payer Sheet
View the NCPDP Version 5.1 Payer Sheet.
(124 KB) Download PDF
English
Part D Vaccine Administration Payer Sheet
Download the Argus NCPDP Version 5 Vaccine Administration Payer Sheet for billing purposes.
(56 KB) Download PDF
English

Provider Manual, Ethics Document, Part D Enrollment Form, and Rejection Codes

Pharmacy Provider Manual
Download a guide for Humana’s Pharmacy Providers.
(7.3 MB) Download PDF
English
Principles of Business Ethics Compliance and Fraud Prevention Guide
Download our Principles of Business Ethics for doctors, pharmacists, and others.
(112 KB) Download PDF
English
Prescription Drug Claim Form
General form used to submit pharmacy benefits claims.
(62 KB) Download PDF
English
CarePlus Pharmacy Provider Manual Supplement
Download a supplement with CarePlus-specific information.
(0.9 MB) Download PDF
English
Medicare Part D Enrollment Form
Provide this form to patients and customers who wish to enroll in a Medicare Part D Plan.
(478 KB) Download PDF
English
NCPDP Rejection codes
View descriptions for all NCPDP rejection codes.
(24 KB) Download PDF
English
Electronic Prescribing Information for Pharmacies
Download the following resource regarding electronic prescribing for pharmacies
(121 KB) Download PDF
English
Long-term Care Access to Care
Please complete this form to comply with CMS policies.
(35 KB) Download PDF
English
Printable Health Insurance Page From Humana