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Publications

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

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Humana Physician News

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Subscribe to Humana Physician News

Quarterly email newsletter featuring the latest news, resources and administrative information to support you in the care of your Humana-covered patients. Humana Physician News replaces Humana’s YourPractice.

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Medicare and commercial manuals

Provider manual for physicians, hospitals and healthcare providers – effective May 1, 2021, PDF opens in new window

Provider manual for physicians, hospitals and healthcare providers – delegation – effective May 1, 2021 , PDF opens in new window

Appointment of representative forms

Appointment of representative form - English , PDF opens in new window

Appointment of representative form - Spanish , PDF opens in new window

Humana Gold-Plus Integrated Provider Manual

Illinois-CMS-sponsored MMAI (Demonstration) Provider Manual – Effective Jan. 1, 2021 , PDF opens in new window

Humana Healthy Horizons Provider Manuals

Humana Healthy Horizons in Florida Provider Manual – Effective Apr. 1, 2021 , PDF opens in new window

2021 Humana Healthy Horizons in Kentucky Provider Manual – Effective Jan. 1, 2021 , PDF opens in new window

2021 Humana Healthy Horizons in South Carolina Provider Manual – Effective July 1, 2021 , PDF opens in new window

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

California independent practice association (IPA) administrator handbook , PDF opens in new window

South Carolina – Author by Humana appendix to Humana provider manual , PDF opens in new window

Texas appendix to the Humana provider manual, effective July 1, 2020 , PDF opens in new window

Tennessee appendix to the Humana provider manual, effective Aug. 1, 2020 , PDF opens in new window

Archived provider manuals and appendices

List of archived provider manuals and state-specific appendices , PDF opens in new window

Other publications

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

HIPAA companion guides , opens new window
Technical guidance documents for healthcare providers

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

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