The online remit inquiry is a self-service application that enables providers to view remittance information online via the secured provider section of Humana.com. The function offers several different inquiry methods and the ability to customize the viewing of the data with the use of filters and sorts. Providers can also download the HIPAA X12N 835 version 4010 A1 electronic remittance advice remittance in a format (text or Word document) or as a remittance inquiry supplement file (Excel spreadsheet)
If you are not a current user of the secured provider section, please register.
Once you have access to the secured provider section of Humana.com, you can immediately access the online remit inquiry function to inquire about paid claims.
Request Forms
The Electronic Remittance Advice (ERA) offers a more automated process for providers who can accept auto posting transactions though a vender, billing agency or clearinghouse. Humana utilizes Availity ® as the central gateway for delivery of 835 transactions. Upon enrollment, the ERA will replace the paper version of the explanation of remittance (EOR).
ERA/EFT Setup-Change Request
EFT Format
Beginning in October 2009, EFT payment transactions will be reported with a new file format (CCD+), which is the recommended industry standard for EFT payments. The CCD+ format is a National Automated Clearing House Association (NACHA) ACH corporate payment format with a single 80 character addendum record capability. The addendum record is used by the originator to provide additional information to the payment recipient about the payment. The new format will also be referenced in the ERA (835 data file).
Overpayment recovery and the 835
When overpayment recovery is necessary, Humana documents it using the Provider Level Adjustments (PLB) field/segment in the 835 electronic remittance. Humana sends the patient account number and the claim number within that field/segment to explain from which claim the overpayment was recovered.
Since the PLB segment is restricted to a 30-character or byte limit within the 4010A1 version of the 835 electronic remit, the information could be shortened.
Once Humana moves to the 5010 version of the 835 electronic remittance in 2011, this issue will be resolved. The 5010 version will provide enough space so that the information will not be shortened.
- ERA/EFT FAQ
- Frequently asked questions and answers for Humana ERA/EFT.
- (176 KB) - Download PDF
- English
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