Tricare/Humana Military East

Credentialing Steps

  • Step 1- Fill out Certification Application Request & Submit

    • Add a due date to the Monday Board x 30 days and make notes on work completed

  • Step 2- Fill out any documents sent over by the certification department & submit

    • Add information and documents to Monday Board

  • Step 3- Create online account (Provider Portal) on behalf of the provider

    • Add the log in information to the Monday Board

*************************************************************************************************************************************************************************************************************************Credentialing Documents

Social Worker Certified Provider Application- Online

Mental Health Counselor Certification Application- Online

Group Practice Documents

Tricare Group Roster

Group Contract

*************************************************************************************************************************************************************************************************************************Website: https://www.humanamilitary.com/provider/

Phone No: (800) 444-5445

Email:

Network Provider Rep- N/A

Address: Provider certification submission:

TRICARE East
Attn: Provider Certification
PO Box 7870
Madison, WI 53707-7870

Fax: (608) 221-7535

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