Humana formally recredentials physicians, clinicians and facilities at least every three years. There are three ways to complete the recredentialing process:
(The contents of this web page do not apply to Puerto Rico. For information on Puerto Rico recredentialing, please send an email to PRCredentials@humana.com or call 1-877-384-5037.)
CAQH ProView is the preferred method for recredentialing because it allows you to securely submit credentialing information to multiple health plans and networks by entering information just once. This service is provided at no cost to physicians, clinicians or facilities.
If you’ve previously used CAQH ProView, go to https://proview.caqh.org/pr (link opens in new window) to access your credentialing application and ensure all information is up to date. Use the “Attest” button to verify the accuracy of the information. You may be required to upload multiple documents, including your current attestation, malpractice insurance face sheet and hospital privileges.
If you’ve never used CAQH ProView, please follow the instructions for initial credentialing on our credentialing page.
If your state does not require the use of its application form (see list in the next section) and you don’t wish to use CAQH, you may complete Humana’s credentialing application (link opens in new window). The following documentation is needed to complete the recredentialing process:
Please send your completed application or questions to Credentialinginquiries@humana.com.
The following states require state-mandated applications, which are available through CAQH. If you choose not to use CAQH, you may access the applications below and send completed applications or questions to Credentialinginquiries@humana.com.
http://dph.illinois.gov/forms-publications (link opens in new window) (see “Health Maintenance Organizations (HMOs)” heading
http://www.ncdoi.com/LH/Licensing,_Renewals_and_Other_-_HMO.aspx#Checklists (link opens in new window) (see “Credentialing” tab)