Humana

Humana Medicare Contracting

The information sheet is submitted first, then Humana sends the electronic contracting link.
If you are already contracted, this sheet allows them to determine if you need a release or not.

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Suggestion: Select both Medicare and HumanaOne on the top of the form.

If you can scan into a PDF file, please send the attachment to:

Support@MedicareAgentTraining.com
Can’t scan? Need to fax? Fax to: 1-888-837-5083