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Join our network and find credentialing information.

Log in to Availity Essentials™ to access patient benefits, claims information and more.

Find tools and materials to support doing business with us.

Learn more about research and trends that impact your practice.

Find self-service info and phone numbers and update your provider data.

Review prior authorization lists for services, medications and submission guidance.

Prior authorization submission information

Professionally administered drugs prior authorization

Find appeals guidelines and payment policy information.

Learn how to submit claims and find coding guidance.

Find policies for procedures, devices and medications.

Review guidelines and health programs to support your patients and practice.

Find dental benefits, tools and resources.

Prior authorization for professionally administered drugs 

Locate state-specific resources for Humana Healthy Horizons® (Medicaid).

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Shop plans, learn about Medicare and explore member resources.

Search for in-network medical, vision, dental and pharmacy providers.

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Fee-For-Service	Strategic advantages	Value-Based Care
No penalty protection	Penalty protection	Penalty protection mechanisms from financial losses due to unforeseen patient outcomes
No clear focus on preventing long-term chronic conditions	Long-term health outcomes	Quality care focuses on prevention and improving patient outcomes—avoiding issues that can develop into long-term chronic conditions
Limited data use for practice insights	Practice insights	Closer attention to trends and data provides helpful practice insights
CMS continues to update policies that favor VBC implementation	Policy shifts	The CMS aims to transition Medicare and Medicaid beneficiaries to VBC by 2030
N/A	Data, technology and analytics	Utilizes clinical markers to measure patient improvement