Credentialing is the process of obtaining and reviewing documentation to determine participation status in a health plan. The documentation may include, but is not limited to, the applicant’s education, training, clinical privileges, experience, licensure, accreditation, certifications, professional liability insurance, malpractice history and professional competence. Generally, the terms credentialing and recredentialing include the review of the information and documentation collected, as well as verification the information is accurate and complete.
- Facilities and organizational providers that are already contracted with Humana but need to be credentialed should download our
organizational provider credentialing, PDF, application and fax it to 1-502-508-0521 or email it to email@example.com.
- Puerto Rico healthcare professionals interested in credentialing should send an email to PRCredentials@humana.com or call 1-877-384-5037. The information below does not apply to Puerto Rico.
View the credentialing and recredentialing policies here, PDF.
- For answers to questions about credentialing status or the process described below, please call 1-800-626-2741 and choose the option that says, “Have a question about a contract?” You also can send an email to:
KS & MO: firstname.lastname@example.org
MD & DC: DCMarylandProviderUpdates@humana.com
Austin & Corpus Christi: email@example.com
Houston (including TIN changes & demographic updates): HumanaHoustonPD@humana.com
Albany, Allegany, Broome, Cattaraugus, Cayuga, Chautauqua, Chemung, Chenango, Clinton, Columbia, Cortland, Delaware, Dutchess, Erie, Essex, Franklin, Fulton, Genesee, Greene, Hamilton, Herkimer, Jefferson, Lewis, Livingston, Madison, Monroe, Montgomery, Niagara, Oneida, Onondaga, Ontario, Orange, Orleans, Oswego, Otsego, Putnam, Rensselaer, Rockland, Saratoga, Schenectady, Schoharie, Schuyler, Seneca, Steuben, St. Lawrence, Sullivan, Tioga, Tompkins, Ulster, Warren, Washington, Wayne, Wyoming and Yates.
Bronx, Kings, Nassau, New York, Queens, Richmond, Suffolk and Westchester
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