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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.

Publications

2024 Provider manual for physicians, hospitals and healthcare providers – effective March 15, 2024

2024 Provider manual for physicians, hospitals and healthcare providers – delegation – effective March 15, 2024

2025 Provider manual for physicians, hospitals and healthcare providers – effective Feb. 5, 2025

2025 Provider manual for physicians, hospitals and healthcare providers – delegation — effective Feb. 5, 2025

State-specific provider appendices (supplements to Medicare and commercial manuals)

California independent practice association (IPA) administrator handbook

Texas appendix to the Humana provider manual, effective July 1, 2020

Tennessee appendix to the Humana provider manual, effective June 1, 2023

Washington appendix to the Humana provider manual, effective Oct. 1, 2024

Humana Gold-Plus Integrated provider manual

Humana Gold Plus® Integrated Medicare-Medicaid Alignment Initiative (MMAI) provider resource guide

Humana Healthy Horizons provider manuals

2023-24 Humana Healthy Horizons in Florida provider manual - effective October 1, 2023

2024 Humana Healthy Horizons in Indiana provider manual- effective July 1, 2024

2024 Humana Healthy Horizons in Kentucky provider manual – effective October 14, 2024

2023 Humana Healthy Horizons in Louisiana provider manual – effective January 1, 2023

2023 Humana Healthy Horizons in Ohio provider manual – effective February 1, 2023

2024 Humana Healthy Horizons in Oklahoma provider manual – effective April 1, 2024

2022 Humana Healthy Horizons in South Carolina provider manual – effective September 1, 2022

2024 Humana Healthy Horizons in South Carolina provider manual – effective January 1, 2024

2024 Humana Healthy Horizons in Oklahoma provider manual- effective November 15, 2024

Appointment of representative forms

Appointment of representative form - English

Appointment of representative form - Spanish

Archived provider manuals and appendices

List of archived provider manuals and state-specific appendices

Other publications

Claim payment inquiry resolution process guide
Find detailed information about Humana’s claim payment inquiry resolution processes.

HIPAA companion guides
Technical guidance documents for healthcare providers

Medicare provider materials
Operational and reimbursement guidelines, provider qualifications and requirements, frequently asked questions and electronic claims information

Resource sheet for healthcare providers
A guide that includes key phone numbers, claims and preauthorization contacts and information about working with us online.

Humana Physician News

Medicare and commercial provider manuals