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Review these publications to learn about tools and services for physicians, facilities and other healthcare providers.

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Humana Physician News

Our quarterly email features the latest news, resources and administrative information to support you in the care of your Humana-covered patients.

Read the latest issue of Humana Physician News (Q4 – 2024)

Read our 2024 – Q3 newsletter

Read our 2024 – Q2 newsletter

Read our 2024 – Q1 newsletter

Medicare and commercial provider manuals

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

2022 Illinois-CMS-sponsored MMAI (Demonstration) provider manual – effective October 10, 2022

Humana Healthy Horizons provider manuals

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

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

2023 Humana Healthy Horizons in Kentucky provider manual – effective March 15, 2023

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 South Carolina provider manual – effective January 1, 2024

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

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