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.

Please note:

  • 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 credentialinginquiries@humana.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.
  • The current credentialing and recredentialing policies can be viewed here, PDF.
    • The credentialing and recredentialing policy that will be implemented at a future date can be viewed 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:
California/Pacific Region CA: Californiaupdates@humana.com
AK: pacificnorthwest@humana.com
HI: Hawaii_Contracting@humana.com
Central Region AR & OK: arokpd@humana.com
KS & MO: ksmonm@humana.com
Central North Region MN: NCRNetworkOps@humana.com
ND: NCRNetworkOps@humana.com
SD: NCRNetworkOps@humana.com
NE: NCRNetworkOps@humana.com
IA: NCRNetworkOps@humana.com
MT: NCRNetworkOps@humana.com
WY: NCRNetworkOps@humana.com
Central West Region CO: CONMProviderServices@humana.com
NM: CONMProviderServices@humana.com
Desert Region AZ: Phoenixmarketupdates@humana.com
NV: Nevadamarketupdates@humana.com
East Central Region IN: inproviderupdates@humana.com
OH: ohionetworkspecialist@humana.com
Florida Follow your existing process Great Lakes Region MI: michiganmarket@humana.com
WI: WIMBOX@humana.com
IL: IllinoisProviderUpdate@humana.com
Gulf States Region LA: LAMSPROVIDERINTAKE@humana.com
MS: LAMSPROVIDERINTAKE@humana.com
Intermountain Region WA: pacificnorthwest@humana.com
OR: pacificnorthwest@humana.com
ID: mountaindivision@humana.com
UT: mountaindivision@humana.com
Mid-Atlantic Region DE: DelawareProviderUpdates@humana.com
MD & DC: DCMarylandProviderUpdates@humana.com
VA: VirginiaProviderUpdates@humana.com
Mid-South Region AL: HumanaALTNproviderupdates@humana.com
TN: HumanaALTNproviderupdates@humana.com
Southeast Region GA: gaproviderupdates@humana.com
NC: ncproviderupdates@humana.com
SC: scproviderupdates@humana.com
Texas (Southwest) Region San Antonio & El Paso: stxnm@humana.com
Austin & Corpus Christi: networkrelationsaustintx@humana.com
Texas (Northeast) Region Dallas & N. TX: NTXNM@humana.com
Houston (including TIN changes & demographic updates): HumanaHoustonPD@humana.com
Northeast Region – Upstate New York Upstate NY to include the following counties:
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.

UpstateNYproviderupdates@humana.com
Northeast Region – Downstate New York & New Jersey NJ & Downstate NY to include the following counties:
Bronx, Kings, Nassau, New York, Queens, Richmond, Suffolk and Westchester

DownstateNYNJproviderupdates@humana.com
New England (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont) NewEnglandproviderupdates@humana.com East Region KY: ProviderDevelopmentKYWV@humana.com
WV: ProviderDevelopmentKYWV@humana.com
PA: PennsylvaniaProviderUpdates@humana.com