Humana for Healthcare providers

Join Our Network

Join Our Network

The links below provide information on how you can express your interest in participating with Humana and the credentialing process.

Express Your Interest and Learn More

Credentialing and CAQH
Education
Education Tools

Use these links to access provider education information and resources.

Register
Provider Self-Service
Helpful Tools
Claim Resources
Claim Resources

Access Humana claim information for healthcare providers.
Claim Resources
Payments
Interactive Voice Response (IVR)
Authorizations / Referrals
Authorizations / Referrals

Learn about preauthorization and notification processes and download available lists.
Authorizations / Referrals
Search

Providers

Welcome Provider and Administrators

Humana values the care you provide to our members. We hope you find this site useful. You may also register for access to our secure portal where you can conduct many Humana transactions conveniently and securely online.

Critical Topics

These topics will provide you with quick access to information on claims submission and edits, coverage policies, authorizations and more.

Claim Resources

Electronic Claim & Encounter Submission

Humana encourages providers to submit their claims electronically
Claim and Encounter Addresses
Claim Processing Edits
Preauthorization and Notification Lists
Payments
Online Tools

What's New

Humana's Your Practice

This quarterly publication provides updates on news and tools to make it easier for you to do business with Humana.

Training Dates and registration information.

Web Based Training Schedule

Download and print.

Provider Manuals

Pharmacy Tools

Pharmacy

Humana's Drug List

View lists for members with commercial and Medicare Plans
Pharmacy

Exceptions and Appeals

Request coverage determination for a prescription drug
Pharmacy

Limited Income NET Information and Forms

This page gives you access to forms, manuals, and the ability to review rejection codes
Pharmacy

RxMentor

Help members get the most value from medications

Get Paid by the top payer.

According to PayerView^SM, an annual ranking of health benefits companies conducted by athenahealth^®

View Now