Added Option for Checking Claims by Phone

Health care providers in the Humana network have a new option when using the interactive voice response (IVR) system to check claims status.

After entering their tax identification number, choosing “Claims” from the menu, and entering the member identification number and date of birth when prompted, providers can now say “I don’t know” when asked to enter the date of service. The system will then present a list of several dates to choose from that correspond to that member identification number and claims for the tax identification number entered. Providers can then access the claim(s) for the date they are looking for.

Providers can continue to access patient service claims two other ways:

• Enter a date to get claims for all members seen and served on that date.
• Enter a date and member tax identification number to get the claim for a specific patient service rendered on that date.

The provider can choose to listen to the claims or receive a fax with the claim information. The new fax is in a remit format and includes the status of 40 claims per page.

In addition to accessing claims, the automated telephone system also enables providers to initiate precertification requests, check on the status of precertifications or referrals and verify a member’s eligibility and benefits.

The system is available 24 hours a day, seven days a week by calling (800) 523-0023. The provider tax identification number must be entered and validated at the beginning of the call.

For more information about the automated phone system, providers can contact a customer service representative at 1-800-4-HUMANA (1-800-448-6262).