A Humana healthcare provider using his computer for electronic transactions.

Electronic Remittance Advice (ERA) (835) and Electronic Funds Transfer (EFT) Request Forms

Beginning November 7, 2011, Humana began delivering Health Insurance Portability and Accountability Act (HIPAA) 5010 835 versions of all ERA remittance files. The electronic format may be accessed in the following ways:

Explore the Provider Self-Service Center

The online remit inquiry is a self-service application that enables providers to view remittance information online via the secure provider section of Humana.com. The function offers several different inquiry methods and the ability to customize the view of the data with the use of filters and sorts. Providers can also download the HIPAA X12N 835 version 5010 A1 electronic remittance advice remit in a text format, Word document, Excel format (as a remittance inquiry supplement file), or an Adobe® (.pdf) formatted version of the explanation of remit.

If you are not a current user of the secure provider section, please register.

Once you have access to the secure provider section of Humana.com, you can immediately access the online remit inquiry function to inquire about paid claims.

Electronic Remittance Advice (ERA) Setup

The electronic remittance advice (ERA) offers a more automated process for providers who can accept auto-posting transactions through a vendor, 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).

To become enrolled for ERA/EFT, please access our online setup tool:

ERA/EFT Setup-Change Request

Electronic Funds Transfer (EFT) Format

EFT payment transactions are reported with a new file format (CCD+), which is the recommended industry standard for EFT payments. The CCD+ format is a National Automated Clearinghouse 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 is also referenced in the ERA (835 data file).

ERA/EFT FAQ
Frequently asked questions and answers for Humana ERA/EFT.
(176 KB) - Download PDF
English

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