Humana - Guidance when you need it most

Clinical & Healthcare Resources

Use these links to browse provider-specific information such as clinical guidelines and industry resources on the Web.

Cultural Diversity

Learn about Humana's Clinical Disparities and Cultural Diversity (CDCD) program and access helpful links.

Healthcare Resources

Industry links, including popular Websites specifically for medical providers.

Physician Advisory Committee

View a list of the members of Humana’s Physician Advisory Committee.

Clinical Practice Guidelines

These guidelines, which were developed by nationally recognized organizations, can be valuable tools in diagnosing, managing, and treating various clinical conditions.

Medical Records Review

List of procedures and services that may require submission of member medical records for review.

Healthcare Provider Advisory Committee

View a list of the members of the Healthcare Provider Advisory Committee

Behavioral Health Forms

Access to the form, contact information, and instructions.

Coverage IssuesNew Window

Describes the evaluation and coverage of medical procedures and devices that are being investigated or have been recently introduced.

Download & Print


Comprehensive lists of services requiring preauthorization

December 1, 2008 Medicare Preauthorization and Notification List
(228 KB) Download PDF
English

December 1, 2008 Commercial Preauthorization and Notification List
(214 KB) Download PDF
English

January 15, 2008 Preauthorization & Notification List
(64 KB) Download PDF
English

2007 Preauthorization &
Notification List

(54 KB) Download PDF
English

2006 Preauthorization &
Notification List

(35 KB) Download PDF
English
Chronic Condition Special Needs Plan

Condition Verification Form
(24 KB) Download PDF
English


2007 Humana's Anti-Fraud Plan Policy Bulletin
(92 KB) Download PDF
English

Related Resources

Contracting Resources

Learn about an online service to help physicians and other healthcare providers more easily and cost-effectively provide required credentialing information to healthcare organizations and health plans.

Health & Wellness

Read about Disease Management, Wellness programs, and other Humana resources that promote healthy behaviors and support the doctor-patient relationship.

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