Electronic Remittance Advice (835) and Electronic Funds Transfer Request Forms
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:
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 secured provider section of 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 Humana.com, you can immediately access the online remit inquiry function to inquire about paid claims.
Request Forms
The Electronic Remittance Advice (ERA) offers a more automated process for providers who can accept auto posting transactions though a vender, billing agency or clearinghouse. Humana utilizes Avality as the central gateway for delivery of 835 transactions. Upon enrollment, the ERA will replace the paper version of the explanation of remittance (EOR).
EFT Format
Beginning in October 2009, EFT payment transactions will be reported with a new file format (CCD+), which is the recommended industry standard for EFT payments. The CCD+ format is a National Automated Clearing House 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 will also be referenced in the ERA (835 data file).
