How to Become a Humana Medical Plan Provider

Initial steps

In order to become a Humana Medical Plan provider, you must first:

  1. Get your optometry license (see our guide that gives step-by-step instructions on how to get your optometry license in each state)
  2. Find a place to practice
  3. Get liability insurance
  4. Obtain your NPI number
  5. Begin the medicare enrollment process (see our 41 Step Guide to Become a Medicare Provider w/ Screenshots)
  6. Register with CAQH

See this in-depth guide for additional guidance on satisfying these core requirements. You’ll need to satisfy these requirements to become a provider with nearly every medical or vision plan.

For guidance on applying to additional plans, check out our in-depth Optometrist Credentialing Guide.

Directions to join Humana Medical Plan

Have these items ready to go before you start:

  • Tax ID Number (TIN) aka Employer Identification Number (EIN)
  • CAQH number
  1. Visit the Humana Medical Plan online webpage. Please note that online applications are not possible in several states, including California, Florida, and New York. Here are instructions for applying in these states.
  2. If you are in a state that allows online applications, fill out this form.
  3. Wait for a response—it should take no longer than a few weeks.

If you are having problems or have questions, call Humana Provider Relations at 1-800-626-2741.

FAQs about Humana Medical Plan

  • If you are an associate or independent contractor in a practice, ask the owner for the TIN and EIN.
  • If you are a solo practitioner in your own practice you will need to apply for a TIN/EIN number. Click here to go to the IRS website.
  • Here is Humana’s website: http://www.humana.com/
  • Humana’s Provider Relations Phone Number: 1-800-626-2741
  • Humana’s Customer Service Line: 800-448-6262

 

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About Matt Geller

Matthew Geller
Dr. Matt Geller is a technology entrepreneur with a track record of developing successful online platforms to solve problems in the healthcare space. Matt is an optometrist in San Diego and is the founder of OptometryStudents.com, NewGradOptometry.com and the co-founder of CovalentCareers.com!

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