Automated Precertifications IVR

The combined automated telephone system enables you to initiate precertification authorization requests, as well as check on the status of precertifications, claims, or referrals, and verify a member's eligibility and benefits. The automated system interfaces with Humana's host computer systems and allows for faster, more consistent verification of information than a manual system. In most instances, a precertification request is approved while the caller is on the line. Some of the enhancements you may wish to note include the following:

• You can access member benefits and eligibility, your claims status for one or more days, and your claims status for specific member claims and referral information. The new menu options are precertifications, coverage and benefits, claims, pharmacy, and referrals.
• Your provider tax identification (I.D.) number will be entered and validated at the beginning of the call.
• Precertification initiation and status are now available when calling the Humana customer service number on the back of the member's ID card, or you may initiate a precertification request or check on the status of a precertification the same familiar way – by calling 1-800-523-0023.