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Publications

Review these publications to learn about tools and services for physicians, facilities and other healthcare providers.

Medicare and commercial manuals

2023 Provider manual for physicians, hospitals and healthcare providers - effective March, 1 2023, PDF

2023 Provider manual for physicians, hospitals and healthcare providers - delegation - effective March, 1 2023, PDF

2024 Provider manual for physicians, hospitals and healthcare providers – effective March 15, 2024, PDF

2024 Provider manual for physicians, hospitals and healthcare providers – delegation – effective March 15, 2024 , PDF

Appointment of representative forms

Appointment of representative form - English, PDF

Appointment of representative form - Spanish, PDF

Humana Gold-Plus Integrated provider manual

2022 Illinois-CMS-sponsored MMAI (Demonstration) provider manual – effective October 10, 2022, PDF

Humana Healthy Horizons provider manuals

2023 Humana Healthy Horizons in Florida Provider Manual - effective October 1, 2023, PDF

2023 Humana Healthy Horizons in Kentucky provider manual – effective March 15, 2023, PDF

2023 Humana Healthy Horizons in Louisiana provider manual, PDF

2023 Humana Healthy Horizons in Ohio provider manual – effective February 1, 2023 , PDF

2022 Humana Healthy Horizons in South Carolina provider manual – effective September 1, 2022, PDF

2024 Humana Healthy Horizons in South Carolina provider manual – effective January 1, 2024, PDF

State-specific provider appendices (supplements to Medicare and commercial manuals)

California independent practice association (IPA) administrator handbook, PDF

Texas appendix to the Humana provider manual, effective July 1, 2020, PDF

Tennessee appendix to the Humana provider manual, effective June 1, 2023, PDF

Archived provider manuals and appendices

List of archived provider manuals and state-specific appendices, PDF

Other publications

Claim payment inquiry resolution process guide, PDF
Find detailed information about Humana’s claim payment inquiry resolution processes.

HIPAA companion guides
Technical guidance documents for healthcare providers

Medicare provider materials
Operational and reimbursement guidelines, provider qualifications and requirements, frequently asked questions and electronic claims information

Resource sheet for healthcare providers, opens in new window
A guide that includes key phone numbers, claims and preauthorization contacts and information about working with us online.