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Humana Credentialing Application for Participation with Humana Health Plans 2013-2025 free printable template

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This document is a credentialing application intended for healthcare providers seeking participation with Humana Health Plans, collecting necessary personal, professional, and practice information.
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How to fill out credentialing application for participation

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How to fill out Humana Credentialing Application for Participation with Humana Health Plans

01
Obtain the Humana Credentialing Application form from the Humana website or your local Humana office.
02
Fill out your personal information at the beginning of the application, including your name, contact information, and professional details.
03
Provide your National Provider Identifier (NPI) number if applicable.
04
List your education history, including medical school, residency, and any fellowships.
05
Document your work history, including all relevant healthcare positions held.
06
Include information about your licenses and certifications, ensuring they are current.
07
Detail any malpractice history, if applicable, including claims and outcomes.
08
Complete the section on practice locations, noting all addresses where you will provide services.
09
Review the application for completeness and accuracy before submission.
10
Submit the application according to the instructions provided, ensuring you retain copies for your records.

Who needs Humana Credentialing Application for Participation with Humana Health Plans?

01
Healthcare providers who wish to participate in the Humana Health Plans network.
02
Physicians, specialists, and other medical staff looking to provide services covered by Humana.
03
Facilities, such as hospitals or clinics, aiming for credentialing with Humana Health Plans.
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People Also Ask about

For answers to questions regarding 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?”.
While provider credentialing entails checking the credentials of a new provider to ensure that they are qualified and a good fit for the new position they are taking on, provider enrollment entails enrolling a provider with insurance payers so that are able to request payment from those payers for the services they
Registering is easy Go to the Start your online Humana profile activation page. Choose “I'm a Member” and select the “Start activation now” button. Select your member type and enter your ID number, date of birth and ZIP code. Enable 2-factor authentication so you can verify your identity when signing in.
Sign in to the MyHumana app using your MyHumana member name and password. From the home screen, you can access great features like your Humana ID card, claims information and provider finder.
The credentialing process for hospitals and health systems prioritizes in-depth research and meticulous accuracy, which means that it is not a speedy process, often taking from 90 to 120 days to complete. However, verifying a provider's credentials is essential.
Once you receive your Humana Spending Account Card in the mail, you must activate it before you can use it. Visit Healthy Benefits Plus™ or call 855-256-4620 (TTY: 711).

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The Humana Credentialing Application for Participation with Humana Health Plans is a formal process that healthcare providers must complete to become an approved provider for Humana's health insurance plans. This application collects necessary information to evaluate the qualifications, credentials, and suitability of providers.
Healthcare providers who wish to participate in Humana's health plans, including physicians, specialists, and allied health professionals, are required to file the Humana Credentialing Application.
To fill out the Humana Credentialing Application, providers should carefully read the instructions, gather required documentation (such as licenses, certifications, and insurance information), and accurately complete each section of the application form before submitting it to Humana.
The purpose of the Humana Credentialing Application is to ensure that healthcare providers meet Humana's standards for quality and compliance, thereby protecting patients and ensuring that care is delivered by qualified professionals.
The application requires detailed information including provider personal identification, education and training history, licensure and certifications, work history, malpractice history, and any other relevant professional information.
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