The links below provide information on how you can express your interest in participating with Humana and the credentialing process.
Use these links to access provider education information and resources.
Access Humana claim information for healthcare providers.
Learn about preauthorization and notification processes and download available lists.
Use these links to browse provider-specific information such as clinical guidelines and industry resources on the Web.
Clinical Practice Guidelines
Access tools for diagnosing, managing, and treating various clinical conditions
Medical and Pharmacy Coverage Policies
Humana's evaluation and coverage of medical procedures, devices and medications.
Medical Records Review
Procedures and services that may require member medical records for review.
Behavioral Health Forms
Access to the form, contact information, and instructions.
Industry links, including popular websites specifically for healthcare providers
Quick access to clinical forms, documents, and websites
Behavioral Health Guidelines
Behavioral health clinical practice resources for behavioral health care providers.
Medicare Provider Materials
These resources give provider-specific information about Humana health benefits for seniors.
Medicaid Provider Materials
Humana has contracted with the Agency for Health Care Administration (AHCA) to provide services to Medicaid beneficiaries.
Humana has developed resources to help health care providers navigate the new quality landscape.
Humana's Transplant Services Team helps members and their doctors navigate the complex world of transplant care and make informed decisions.
View and download lists
Humana Medicare Transitions to Milliman Care
Questions? We can help. Visit Customer Support