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Humana fax number

(800) 266-3022

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Clinical Intake Team (CIT)

Used for: Clinical intake submissions for continuity of care reviews and other clinical documentation (e.g., continuity of care requests, prior authorizations).

Fax destination details

Department
Clinical Intake Team (CIT)
Purpose
Clinical intake submissions for continuity of care reviews and other clinical documentation (e.g., continuity of care requests, prior authorizations).
Form
Humana Request for Continuity of Care Form — Humana Request for Continuity of Care Form
Address
1100 Employers Blvd., Green Bay, WI 54344
Voice phone
1-800-523-0023

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Complete and submit this form within 21 days to initiate a continuity-of-care review; mail to Clinical Intake (CIT) at Humana, 1100 Employers Blvd., Green Bay, WI 54344, or fax to 800-266-3022.

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