A stethoscope and a labtop used for electronically submitting claims to Humana.

Electronic Submission

Humana not only accepts, but also encourages healthcare providers to submit their claims electronically. Depending on the provider's claim volume, submitting electronically could significantly decrease an office's administrative cost and improve cash flow.

Availity

Providers have a number of options for submitting claims electronically. While Humana has identified Availity, LLC as our central gateway for EDI transactions, providers can still submit to a variety of clearinghouses (see below).

Visit Availity.com to get more information about direct claim submission.

Provider Self-Service Center

Humana.com, through a relationship with ZirMed, can also support your electronic submission needs. Registered users can access the "Claim Management Center" within Humana.com's self-service center and submit Humana claims at no cost to the physician or provider.

Explore the Provider Self-Service Center

Can't generate an electronic claim file?

Humana also has options for healthcare providers who want to submit electronically, but can not generate an electronic billing file. Contact your Humana e-Business Consultant for assistance.

Electronic Claims and Encounter Submission Clearinghouses

Clearinghouse Website Claims Payor ID Encounters
Payor ID
Phone
Availity www.availity.com 61101 61102 1-800-282-4548
ZirMed www.zirmed.com 61101 61102 1-877-494-7633
athenahealth www.athenahealth.com 61101 61102 1-800-981-5084
Gateway EDI www.gatewayedi.com 61101 61102 1-800-556-2231
McKesson www.mckesson.com 2449 61102 1-800-782-1334
Capario www.capario.com 61101 61102 1-800-792-5256
SSI Group www.ssigroup.com 61101 61102 1-800-881-2739
Immediata
(Puerto Rico only)
www.immediata.com 61101 61102 1-787-783-3233

Federal HR 2851 "Michelle's Law"

View information about continued coverage for full-time students who are on medical leave of absence.

In addition to Michelle's Law, the federal Patient Protection and Affordable Care Act contains provisions requiring health plans currently covering dependent children to continue to make such coverage available for an adult child until the child turns 26 years of age regardless of student status. For more information on the federal Patient Protection and Affordable Care Act, please contact customer support by clicking on the link below.

Federal HR 2851 "Michelle's Law"
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