A group of three Humana network providers.

How to Participate with Humana

To express your interest in contracting with Humana, please click here to fill out our online form. The following is the information you will need in order to complete the form:

  • Physician/Practice/Facility name
  • Service address with phone, fax and email
  • Mailing address, if different than service address
  • Taxpayer Identification Number (TIN)
  • Specialty
  • CAQH Number
  • What lines of business (PPO, HMO, MA, etc.) interest you?
  • What type of contract (individual, group, facility) would you like to pursue?

The Contracting Process

Humana contracting representatives will receive your information and consider your request. You may be contacted for additional information. Dependent on current network needs, state and federal regulations, and other factors, a Humana representative may contact you to initiate a participation agreement. In this case, you'll have an opportunity to review the agreement, sign it and return it to Humana. In most cases, credentialing may be required before an agreement becomes effective, and you may be asked for additional information to complete credentialing. Once credentialing is complete, you'll receive a copy of the contract signed by a Humana representative and be advised of your effective date with Humana.

Provider Crisis Contact/Location Form

Submit this form if a disaster or other crisis requires evacuation of your area and/or relocation of your provider office.

Provider Crisis Contact/Location Form

CMS Preventable Conditions National Quality Forum Never Events

Humana supports the Centers for Medicare & Medicaid Services (CMS) policy for preventable conditions and the National Quality Forum (NQF) and Leapfrog Group's recommendations of "never event" reporting for commercial and Medicare contracts.

Hospital contract language that supports these initiatives has been incorporated into new and amended contracts. This language is included in Humana's current provider manual.

These will be updated as changes occur

List of CMS preventable conditions
(60 KB) Download PDF
English
List of never events
(28 KB) Download PDF
English

Kentucky Terms and Conditions (For Providers in Kentucky Only)

General Terms and Conditions
(220 KB) Download PDF
English
MSO/IPA/PHO Terms and Conditions
(37 KB) Download PDF
English
Humana Preferred Terms and Conditions
(104 KB) Download PDF
English