This post applies to any NP or PA that are seeing Humana patients in the office.

The change is affective as of DOS 08/01/2021 and thereafter and applies to NP and PA no matter if they are part of a physician group and not solely acting as a primary care provider.

Effective 08/01/2021, nurse practitioners and and physician assistants are required to get credentialed with Humana, in order to see Humana members in network.

What you need to do?

Please visit Humana website for helpful guidelines or review Human credentialing policy: Humana.com/provider/medical-resources/join-humana-network/credentialing-facilities-and-organizations

If you need any help with the process or have any questions, please contact the us via email or phone:

Email: credentialinginquiries@humana.com – please include your full name, specialty, tax payer identification number (TIN)

Phone: 800-457-4708

Find this type of content useful? Please follow my blog for more payer updates, medical billing and coding guideline changes, reimbursement/medical policy updates and more!

Recent Blog Posts:

• Healthfirst: crutches and cane reimbursement
• UHC Community Health of MA: 2 DSNP 2 plans important coverage update.
• NYS RX: adult vaccine reimbursement and Billing change
• Healthfirst: psychiatric evaluation reimbursement update
• Ambetter from Fidelis Care updated priorauthorization info