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Automated Precertifications by Phone (IVR)

The automated precertification interactive voice response (IVR) system was recently integrated with the Medical Automated Information Line (MED AIL) to give you several options within one call.

This 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.

The system is available 24 hours a day, seven days a week. To access the system, call (800) 523-0023. You can also call the customer service or precertification number on the back of the member's ID card.

Some of the enhancement of which you may wish to take note, include the following:

* You can access member benefits and eligibility, your claims status for one or more days, 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 I.D. card, or you may initiate a precertification request or check on the status of a precertification the same familiar way — by calling 800-523-0023.

For more information about the IVR system and its recent enhancements, go to Frequently Asked Questions.



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