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Medical Automated Information Line (Med AIL)

The Medical Automated Information Line (Med AIL) provides automated information on claims, benefits, eligibility, as well as automated inpatient admission and non-HMO outpatient precertifications 24 hours a day, seven days a week.

Humana customer service representatives also are available for more detailed questions during business hours.

What type of information and service is available through Med AIL?

Member eligibility status
Fax-back eligibility status
Selected benefits, copayments, and deductibles, including deductible accumulations to date
Medical claims status: all your claims for one or more days, or retrieve your claims on specific members
Fax-back claims status: 40 claims per page, organized in a remit format
Referral inquiries *
Fax-back referral
Initiate inpatient admission and non-HMO outpatient precertifications *
Precertification status *
The system will route you directly to a Humana customer service representative, if needed.

* Available in most areas

Click here for chart view

What type of information will I need in order to use Med AIL?

9-digit tax I.D. number
9-digit member I.D. number (listed on member’s I.D. card)
Member's date of birth (mm/dd/yy)
Date of service - mmddyyyy (for specific options, such as claims or precertifications)
Your fax number (if a fax-back option is requested)
Specific information to initiate a precertification, including the following: CPT-4 (five-digit) codes for procedures and surgeries, ICD-9 (three-, four- or five-digit) codes for diagnoses, CPT or HCPCS codes for outpatient procedures

How do I reach Med AIL?

Call the phone number on the back of the member’s I.D. card.

Type of Menu Selections	General Information Available
Member Eligibility and Benefits	This includes policy effective and termination dates with the plan, name of primary care physician (PCP), copayment amounts, coinsurance percentages, lifetime maximum amounts, deductibles, plan type and group number.
Medical Claims Status and Mailing Address	Retrieve all your claims for one or more days or retrieve your claims on specific members. The system plays the listener the following information: amount submitted, allowed amount, status (paid, pending, or denied), check or remittance number, paid amount, dates and member responsibility. Claim details will give you detailed information on each claim line, including denied reasons. You need a date of service to use this function. Claims mailing address plays addresses for claims submission specfic to an individual member.
Referral Inquiries	Referral Inquiries will include referral number, status, date issued, type of service, number of visits approved, number of visits used, effective and end date of referral, expiration date and the physician's name.
Precertification	The automated system allows you to initiate inpatient admission notifications/requests for authorization, as well as non-HMO outpatient precertification requests for designated services. The system also allows you to check on the status of your previously submitted requests.