Healthcare Providers

Claims Information

Humana is dedicated to supporting healthcare providers' administrative needs, so your office can enjoy improved cash flow, reduced administrative expenses and greater operational efficiency. Learn more about Claims Submission and Payment, Claims Policies & Procedures and view more Claims Resources.

Claim Resources

Electronic Claim & Encounter Submission

Humana encourages providers to submit their claims electronically
Claim and Encounter Addresses

View a list of addresses for providers to default to when submitting paper claims to Humana
Claim Processing Edits

Obtain information about Humana's code-editing logic
Preauthorization and Notification Lists

Download a comprehensive list of services requiring preauthorization
Online Tools

24/7 access to patients' information
Payments

Details on claim adjudication and payments
IVR

Interactive Voice Response System
Financial Recovery Policies

Financial Recovery Policies

Find out more about Humana's Financial Recovery policies.
ICD-10 Information

Use the following links to access provider ICD-10 information and resources.
Humana Healthcare Reform Roadmap

Access information about changes regarding 5010
Claim Coding Guidelines

Find information about how to accurately code and document diagnoses and services provided to Humana members.