Contact Humana
Looking for information about your patients’ benefits or claims? Have questions about your Humana contract? Below are options for contacting us.
Online tools to assist you
Eligibility, preauthorization and claims
Use the Availity Essentials portal to manage all day-to-day needs of your office online, including claims, eligibility, prior authorization, referrals and much more.
Update contact information
Stay connected by updating your contact information (service address, phone/fax numbers, etc.).
Guidelines for preauthorization
Learn how to submit a preauthorization for frequently requested services/procedures for your patients and check prior authorization lists.
Reach us by phone
Clinical intake team
For medical service preauthorization requests and notification
800-523-0023
Open 24 hours a day
Medical Medicare customer service
For medical eligibility/benefits and claims inquiries
800-457-4708
Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday
Dental
For all eligibility/benefits and claims inquiries
800-833-2223
or 800-708-1147
Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday
Medicaid customer service
Florida Medicaid: 800-477-6931
Illinois Medicaid: 800-787-3311
Kentucky Medicaid: 800-444-9137
Louisiana Medicaid: 800-448-3810
Ohio Medicaid: 877-856-5707
Oklahoma Medicaid: 855-223-9868
South Carolina Medicaid: 866-432-0001
Hours of operation: 8 a.m to 7 p.m. Eastern time, Monday through Friday
Commercial customer service
For eligibility/benefits and claims inquiries
800-4-HUMANA (800-448-6262)
Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday
Provider payment integrity (PPI)
For questions about PPI audit policies and other resources
800-438-7885
Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday
Provider relations (Humana/ChoiceCare)
For participation status, requests to join the network and contract-related questions
800-626-2741
Open 8 a.m. to 5 p.m. Central time, Monday through Friday
Behavioral health professionals
For Humana behavioral health service preauthorization requests and notification
800-523-0023
Open 24 hours a day
Humana clinical pharmacy review
For medication prior authorization, step therapy, quantity limits and prescription drug exceptions
800-555-CLIN (800-555-2546)
Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday
Pharmacy medication intake team
For preauthorization of medication supplied and administered in a physician’s office and billed as a medical claim (Part B for Medicare)
866-461-7273
Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday
Pharmacy Solutions network contracting
For questions about the pharmacy contracting process, including the status of requests, adding a network to a retail contract, and switching to an independent contract
888-204-8349
Open 8 a.m. to 5 p.m. Eastern time, Monday through Friday