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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.

Delegated provider resources

Access state and federal legislation updates that may impact delegated providers.

Posted September 2023: Effective 1.1.22 – 9.1.24

Posted July 2023

Posted May 2023: Effective 1.1.23 – 7.1.23

Posted March 2023: Effective 1.1.23 – 7.1.23

Posted February 2023: Effective 1.1.23 – 6.1.23

Posted January 2023: Effective 8.7.19 – 4.1.23

Posted November 2022: Effective 3.11.21 – 1.20.23

Posted October 2022: Effective 9.27.21 – 9.30.23

Posted September 2022: Effective 4.13.22 – 9.30.23

Posted August 2022: Effective 1.1.22 – 12.31.22

Posted July 2022: Effective 3.1.22 – 10.1.22

Posted June 2022: Effective 1.1.22 – 1.3.23

Posted May 2022: Effective 10.1.21 – 7.1.22

Posted March 2022: Effective 10.1.20 – 7.1.22

Posted Feb. 2022: Effective 1.1.20 – 7.1.22

Posted Dec. 2021: Effective 7.1.20 – 4.1.22

Posted Sept. 2021: Effective 1.9.21 – 1.1.22

Posted July 2021: Effective 10.6.20 – 10.1.21

Jan. 1, 2021 – July 1, 2021

July 1, 2020 – April 1, 2021

October 1, 2020 – April 1, 2021

July 1, 2020 – April 1, 2021

January 1, 2020 – November 13, 2020

July 21, 2020 – January 4, 2021

July 24, 2020

February 15, 2019 – October 1, 2020

January 1, 2020 – July 1, 2020

July 17, 2019 – April 1, 2020

November 19, 2019 – April 1, 2020

July 1, 2019 – September 30, 2020

June 12, 2019 – January 1, 2020

June 1, 2019 – January 1, 2021

May 29, 2019 – January 1, 2020

January 1, 2019 – October 1, 2019

December 1, 2018 – January 1, 2020

December 25, 2018 – April 3, 2019

July 1, 2018 – July 31, 2018

June 1, 2018 – June 30, 2018

May 1, 2018 – May 31, 2018

Aug. 1, 2017 – Aug. 31, 2017

July 1, 2017 – July 31, 2017

June 1, 2017 – June 30, 2017

May 1, 2017 – May 31, 2017

April 1, 2017 – April 30, 2017

Jan. 1, 2017 – Jan. 31, 2017

Centers for Medicare & Medicaid Services quarterly provider updates

Recent updates

Archived resources

Additional resources

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