Credentialing is the process of obtaining and reviewing documentation to determine participation status in a health plan. The documentation may include, but is not limited to, the applicant’s education, training, clinical privileges, experience, licensure, accreditation, certifications, professional liability insurance, malpractice history and professional competence. Generally, the terms credentialing and recredentialing include the review of the information and documentation collected, as well as verification the information is accurate and complete.

Please note:

  • Facilities and organizational providers that are already contracted with Humana but need to be credentialed should download our organizational provider credentialing , application and fax it to 1-502-508-0521 or email it to credentialinginquiries@humana.com .
  • Puerto Rico healthcare professionals interested in credentialing should send an email to PRCredentials@humana.com or call 1-877-384-5037. The information below does not apply to Puerto Rico.
  • View the credentialing and recredentialing policies here .
  • For answers to questions about 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?” You also can send an email to:

Important credentialing update for WI, CO, and MA

Humana is entering into a multi-payer credentialing solution in partnership with Elevance and Sutherland Healthcare Solutions. This initiative aims to streamline the recredentialing process, enhance efficiency and reduce administrative burdens for our providers.

Pilot regions: This program will initially launch as a pilot in Wisconsin, Colorado and Massachusetts.

Action required: Please ensure your CAQH profiles are up-to-date and authorized for information sharing across plans. Your earliest recredentialing date will determine the start of this consolidated process. Once your recredentialing is complete, your file will be shared with all affiliated health plans, standardizing your recredentialing date across these organizations.

Join our network

  • Join our network
  • Credentialing CAQH
  • Credentialing for facilities and organizations
  • Credentialing in Colorado
  • Credentialing in Missouri
  • Credentialing in Texas

Region

Email address(es)

California/Pacific RegionCA: Californiaupdates@humana.com
AK: pacificnorthwest@humana.com
HI: Hawaii_Contracting@humana.com
Central RegionAR & OK: arokpd@humana.com
KS & MO: ksmonm@humana.com
Central North RegionMN: NCRNetworkOps@humana.com
ND: NCRNetworkOps@humana.com
SD: NCRNetworkOps@humana.com
NE: NCRNetworkOps@humana.com
IA: NCRNetworkOps@humana.com
MT: NCRNetworkOps@humana.com
WY: NCRNetworkOps@humana.com
Central West RegionCO: CONMProviderServices@humana.com
NM: CONMProviderServices@humana.com
Desert RegionAZ: Phoenixmarketupdates@humana.com
NV: Nevadamarketupdates@humana.com
East Central RegionIN: inproviderupdates@humana.com
OH: ohionetworkspecialist@humana.com
FloridaFollow your existing process
Great Lakes RegionMI: michiganmarket@humana.com
WI: WIMBOX@humana.com
IL: IllinoisProviderUpdate@humana.com
Gulf States RegionLA: LAMSPROVIDERINTAKE@humana.com
MS: LAMSPROVIDERINTAKE@humana.com
Intermountain RegionWA: pacificnorthwest@humana.com
OR: pacificnorthwest@humana.com
ID: mountaindivision@humana.com
UT: mountaindivision@humana.com
Mid-Atlantic RegionDE: DelawareProviderUpdates@humana.com
MD & DC: DCMarylandProviderUpdates@humana.com
VA: VirginiaProviderUpdates@humana.com
Mid-South RegionAL: HumanaALTNproviderupdates@humana.com
TN: HumanaALTNproviderupdates@humana.com
Southeast RegionGA: gaproviderupdates@humana.com
NC: ncproviderupdates@humana.com
SC: scproviderupdates@humana.com
Texas (Southwest) RegionSan Antonio & El Paso: stxnm@humana.com
Austin & Corpus Christi: networkrelationsaustintx@humana.com
Texas (Northeast) RegionDallas & N. TX: NTXNM@humana.com
Houston (including TIN changes & demographic updates): HumanaHoustonPD@humana.com
Northeast Region – Upstate New YorkUpstate NY to include the following counties:
Albany, Allegany, Broome, Cattaraugus, Cayuga, Chautauqua, Chemung, Chenango, Clinton, Columbia, Cortland, Delaware, Dutchess, Erie, Essex, Franklin, Fulton, Genesee, Greene, Hamilton, Herkimer, Jefferson, Lewis, Livingston, Madison, Monroe, Montgomery, Niagara, Oneida, Onondaga, Ontario, Orange, Orleans, Oswego, Otsego, Putnam, Rensselaer, Rockland, Saratoga, Schenectady, Schoharie, Schuyler, Seneca, Steuben, St. Lawrence, Sullivan, Tioga, Tompkins, Ulster, Warren, Washington, Wayne, Wyoming and Yates.

UpstateNYproviderupdates@humana.com
Northeast Region – Downstate New York & New JerseyNJ & Downstate NY to include the following counties:
Bronx, Kings, Nassau, New York, Queens, Richmond, Suffolk and Westchester

DownstateNYNJproviderupdates@humana.com
New England (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont) NewEnglandproviderupdates@humana.com
East RegionKY: ProviderDevelopmentKYWV@humana.com
WV: ProviderDevelopmentKYWV@humana.com
PA: PennsylvaniaProviderUpdates@humana.com