Provider Tools

Publications - Review our publications to learn about provider tools and services.

Interactive Voice Response (IVR) - Save time by using our secure automated information lines to get information about precertifications, claims, referrals and more.

Clinical Tools- Quickly locate details about Humana's clinical practice guidelines, patient health education, clinical services and innovation, transplant services and disease management programs.

Prescription Tools - Learn more about Humana's pharmacy programs by using the drug list search, prescription tools and resources, generic drugs, locate a pharmacy and online pharmacy (ePocrates).

Continuing Medical Education (CME) Opportunities - Find online opportunities to learn the latest information and recommendations regarding health care best practices.

State/Market Specific Information - State/Market specific information

Preauthorization and Notification List - The attached document provides a comprehensive list of services requiring preauthorization.

SmartSummary - The SmartSummary statement is the industry’s first comprehensive and personal, consumer-focused health benefits budgeting, planning, and reporting document. Humana members receive their SmartSummary statement quarterly. Click here to view a sample of what they receive.

Resources for your Humana-insured patients - Learn more about services that can benefit your patients with Humana plans.

Humana Remittance Advice Code Descriptions - The attached document provides a comprehensive list of Humana's Remittance Advice Codes and Descriptions.

Paymentech - Humana is pleased to introduce a new program created exclusively for Humana and Humana ChoiceCare Network participating providers that is designed to help reduce credit card transaction fee costs for your practice. Through this new program, created by a Humana and Chase Paymentech Solutions, LLC partnership, your practice can accept credit cards at significantly discounted processing rates.

Medicare Advantage – Obtain more information about plans offered in your area.