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)
  • Specialty
  • 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?

Important Information Regarding Skilled Nursing Providers and Medicare Advantage Products

Important information regarding Colorado provider networks

Important information regarding Phoenix provider networks

All behavioral health provider contracting is handled by LifeSynch®

All dental contracting is handled by HumanaDental®

The Contracting Process

Humana contracting representatives will review your request and may contact you 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