Credentialing Application for Participation with Humana Health Plans 2025

1. Click 'Get Form' to open it in the editor.
2. Begin by selecting the networks for which you are applying, such as HMO, PPO, Medicare, or Medicaid. Ensure you check the appropriate boxes.
3. Fill in your personal information including Last Name, First Name, Middle Name, Date of Birth, and Social Security Number. Be thorough to avoid delays.
4. Indicate your Provider Type by selecting from options like MD, DO, DPM, etc. Specify if services are provided in a home or mobile setting.
5. Complete sections on citizenship and languages spoken. This information is crucial for compliance and communication purposes.
6. Provide details about your practice address and contact information. Make sure all phone numbers and email addresses are accurate.
7. Continue filling out sections related to education, internships, residencies, board certifications, and professional liability insurance. Attach any necessary documentation as required.
8. Review all entries for accuracy before submitting the application. Use our platform's features to save your progress and make edits easily.

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