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LifeSynch offers web-based wellness tools, health coaching, and behavioral healthcare. Spacer
A CAQH credentialed provider

Council for Affordable Quality Health Care (CAQH) Application Process

LifeSynch®, as a subsidiary of Humana, participates in CAQH, an online service to help physicians and other healthcare providers with the credentialing process. To apply as a LifeSynch provider, you must grant LifeSynch access to your CAQH application.

Directions for Applying

Please review the step-by-step directions below.

Review the Required Qualifications Before Applying

Minimum Requirements for Applying

Step 1: Allow Access to Your CAQH Information

In order for LifeSynch to access your CAQH application, please mark Humana or "all health plans" authorization on the CAQH Website and provide your CAQH number to LifeSynch by calling Provider Services at 1-800-890-8288 or faxing your request to Provider Services at 1-866-771-0574.

CAQH applications must be current and have been verified/attested with CAQH within 6 months.

Not in CAQH?
Contact Provider Services at 1-800-890-8288, if you are not registered with CAQH.

To learn more, visit About CAQH.

Step 2: Mail the Check-list and Indicated Documents to LifeSynch

Mail the check-off list and required items
Check-Off List For All Providers (Except CA)
(168 KB) Download PDF
English
Check-Off List For California Providers
(168 KB) Download PDF
English
Include a copy of a completed IRS W-9 Form
(Complete a W-9 for each tax ID you use for filing claims.)
(72 KB) Download PDF
English

LifeSynch Candidate Review Process

LifeSynch notifies candidates via mail once the review process, which may take up to 120 days, is completed. As part of the review process, LifeSynch must verify your license, malpractice insurance, educational degrees, and hospital privileges, (physicians). The National Practitioner Date Bank is queried for malpractice settlements, license suspensions, and Medicare sanctions. The final step is review by LifeSynch's Credentialing Committee.

Practitioners have the right to review information submitted to support their credentialing application, correct erroneous information, and receive information about the status of their application. These rights may be exercised by calling our Provider Relations Department at 1-800-890-8288.

Questions?

Contact Provider Services at 1-800-890-8288 between 8 a.m. and 5 p.m., Central Time, Monday-Friday.

Printable Health Insurance Page From Humana