Payer enrollment · Humana

What does it take to get credentialed with Humana?

A complete, attested CAQH ProView profile is the center of Humana's process. Humana's own credentialing and recredentialing policy sets a 30 calendar day window to complete the credentialing decision once your application is complete, and Humana's CAQH page states the same 30-day figure for your network effective date. Recredentialing follows at least every 36 months.

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Humana runs credentialing through CAQH ProView rather than a separate application, and its own published policy sets a specific, short window: the credentialing process should be completed within 30 calendar days of a complete application, or sooner where state or federal regulation requires it, with written notice of the Credentials Committee's decision due within that same 30-day window. That matches the 30-calendar-day network effective date already stated on Humana's own CAQH-specific provider page, so the two figures describe the same timeline rather than two different ones.

What Humana actually reviews happens inside your CAQH profile: a current Medicare PTAN or CCN, a same-state DEA registration valid at least 45 days into the future, same-state malpractice coverage valid at least 45 days into the future, a current same-state medical licence valid at least 45 days into the future, and same-state hospital admitting privileges or a named covering hospitalist. Licensure, board certification and malpractice verifications must themselves be completed within 120 calendar days before the committee's decision date; other verifications within 180 days. Recredentialing follows at least every 36 months.

30 days
Humana's own target to decide and notify, complete application
120 days
Window for licensure, board cert and malpractice verification before the decision
36 months
Recredentialing cycle, per Humana's own policy
CAQH-based
Humana's primary application source, no separate paper form

How long does Humana credentialing take?

Humana's own published credentialing and recredentialing policy sets a 30 calendar day window to complete the credentialing process once a complete application is received, with written notice of the Credentials Committee's decision due within that same window, or sooner if state or federal regulation requires it. Humana's separate CAQH-specific provider page states a matching figure: a network effective date 30 calendar days after all required documentation is complete.

Third-party vendor sites quote a much wider range for Humana, anywhere from 60 to 180 days, but none of those figures traced back to a page Humana itself publishes, so they are not used here. Work from the 30-day figure above, and treat anything beyond it as a sign your file is not yet complete rather than Humana's normal timeline.

What does Humana require in my CAQH profile?

A current Medicare PTAN or CCN, a same-state DEA registration, same-state malpractice coverage, a current same-state medical licence, and same-state hospital admitting privileges or a named covering arrangement, each valid at least 45 days into the future. Humana draws this directly from your attested CAQH ProView profile rather than a separate Humana-specific form.

RequirementDetail
CAQH ProView profileComplete and attested, accessible to Humana
Medicare PTAN or CCNCurrent, entered under professional IDs in CAQH
DEA registrationSame state, valid at least 45 days into the future
Malpractice (PLI) coverageSame state, valid at least 45 days into the future
State medical licenceSame state, valid at least 45 days into the future
Hospital admitting privilegesSame state, or a named individual or hospitalist group that can admit

The 45-day document buffer catches more applications than the credentialing decision itself. A DEA registration, malpractice policy or state licence that expires inside that 45-day window can stall your file even though Humana's own decision window is just 30 days once the file is actually complete.

How do I actually submit a Humana application?

  1. Complete and attest your CAQH profile

    Include your PTAN or CCN, DEA, malpractice and licence documents, each valid at least 45 days out.

  2. Authorize Humana to access your CAQH profile

    Humana's 30-day decision window starts once it can view your attested, complete data.

  3. Primary source verification

    Licensure, board certification and malpractice verifications must be completed within 120 calendar days before the Credentials Committee's decision date; other verifications within 180 days.

  4. Credentials Committee decision

    Humana's own policy targets a decision and written notice within 30 calendar days of a complete application.

  5. Network effective date

    Humana's own CAQH page states this follows 30 calendar days after all required documentation is complete, consistent with the decision window above.

How often do I need to re-credential with Humana?

At least every 36 months, per Humana's own credentialing and recredentialing policy. Keep your CAQH attestation and the 45-day document buffers current throughout the cycle, not only when a recredentialing notice arrives.

Trust Humana's own 30-day figure

Both Humana's CAQH page and its own credentialing policy point to the same 30 calendar day window once your file is complete.

Watch the 45-day document buffer

DEA, malpractice and licence documents in CAQH must stay valid at least 45 days into the future, not just current today.

Budget 36 months for recredentialing

Consistent with the 3-year cycles already covered for Aetna, UnitedHealthcare and Cigna on this site.

Need this handled rather than researched?

Telesure matches clinicians with licensing and credentialing specialists so you can compare scope, timeline and price before committing to anyone.

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J
Juney Ham
Founder and CEO, Telesure

Juney Ham is the founder and CEO of Telesure, the marketplace that matches clinicians with independent licensing and credentialing specialists. Previously co-founder of Upside and CMO at Hired. Every regulatory figure on this page is taken from the issuing state board, compact commission or CMS and was verified on 7 October 2026. Fees and compact status change; confirm with the relevant board before relying on them.

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Sources: Humana, credentialing and CAQH · Humana, Policy, Credentialing and Recredentialing (28th ed.) · CAQH ProView FAQs