Provider claim resources

Humana supports health care providers' administrative needs with resources for HIPAA compliance, electronic claim submission, claim edits and guidelines and more.

Managing health benefits
Online savings for financial health

Claims and encounter submission made easier

Find resources for electronic submission.

Electronic claims and encounters

Submitting paper claims and encounters

View addresses to use when submitting paper claims to Humana.

Claim and encounter addresses
Insurance brokers discussing health benefits
Is your doctor an in-network medical provider?

ICD-10

Find training tips and answers to frequently asked questions about ICD-10.

ICD-10 information

Humana health care reform roadmap

See a timeline of HIPAA-related changes planned for claims that are submitted electronically.

Reform roadmap
A Medicare member talking to his doctor
Doctor talking to patient

Humana claim coding guidelines

Download coding guidelines related to specific diseases.

Claim coding guidelines

Claims processing updates

View a schedule of changes planned for our claims payment systems.

Claim processing edits
Healthcare comparison tools online
Checking Medicare coverage on a tablet

Preauthorization and notification lists

Download comprehensive lists of services requiring preauthorization.

Preauthorization and notification lists

Improve your management of payments

Learn about real-time claim adjudication and processing transactions with the Humana Access Visa debit card.

Payments
A couple spending money online
Call your pharmacist or doctor to renew your prescription medication

Interactive voice response system

Check claim and referral status, initiate prior authorizations and perform other transactions.

IVR

Provider payment integrity policies

View policies for post-payment audits, technical denials and more.

Provider payment integrity policies
Voluntary health plans provide added security

Texas deficiency tool

If you’re a Texas-based provider, watch this brief presentation to learn how to check your deficient claims online.

Watch presentation

Addressing fraud, waste and abuse

Learn how to detect and prevent fraud, waste and abuse with free training materials, tools and resources from Humana.

Learn more

Humana’s YourPractice

This bimonthly publication provides updates that make it easier for you to do business with Humana.

View the current issue. (link opens in new window)