How to Participate with Humana
To express your interest in contracting with Humana, please 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)
- CAQH Number
- What lines of business (Medicare Advantage and/or commercial PPO, Medicare Advantage and/or commercial HMO, etc.) interest you?
- What type of contract (individual, group, facility) would you like to pursue?