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835 Health Care Electronic Remittance Advice (ERA) Request Form
With the move to being Health Insurance Portability Assurance Act (HIPAA) compliant, Humana has made available the HIPAA X12N 835 version 4010 A1 electronic remittance advice (ERA). The electronic format may be accessed in the following ways:
Via a clearinghouse
The clearinghouse method enables providers, vendors or billing services to receive an 835 Electronic Remittance Advice file from selected commercial clearinghouses. They can receive these files directly from Availity (Humana’s central gateway for electronic data exchange transactions) or from their clearinghouse via Availity. The 835 health care ERA will replace the current paper remittance report.
Complete and submit the 835 Healthcare Electronic Remittance Advice Request Form with General Completion Instructions.
Once Humana receives your request form, you should get a call within three to five business days from one of Humana’s connectivity consultants. If you do not receive a call, please submit an e-mail inquiry to deployment@humana.com. The provider connectivity consultant will work with you to discuss your request and begin the setup process.
Download Humana's 835 File from the secure provider section on www.humana.com
The online remit inquiry is a self-service application that enables providers to view remittance information online via the secured provider section of www.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 www.humana.com, you can immediately access the online remit inquiry function to inquire about paid claims.
Documentation to help you interpret your 835/Electronic Remittance Advice
Humana's Companion Guide to the HIPAA Implementation Guide for the 835 Health Care Claim Remittance/Advice
Humana Remittance Advice Code Descriptions for claim adjudication
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