In Addition to the Credentialing processes provided, the following items are specific to the Colorado Provider Application/Credentialing Process:

  • Within seven (7) calendar days after Humana receives an application, Humana shall provide the applicant a receipt in written or electronic form.
  • Upon receiving an application, a carrier shall promptly determine whether the application is complete. If the carrier determines that the application is incomplete, the carrier shall notify the applicant in writing or by electronic means that the application is incomplete within ten (10) calendar days. The notice that is sent must describe the items that are required to complete the application.
  • If Humana receives a completed applications but fails to provide the applicant a receipt in written or electronic form within seven (7) calendar days of receipt, Humana shall consider the applicant a participating physician, effective no later than fifty-three (53) calendar days after receipt of the application.