Provider claim resources

Humana supports health care providers' administrative needs with resources for Health Insurance Portability and Accountability Act (HIPAA) compliance, electronic claim submission, claim edits and guidelines and more.

Pharmacist reviewing a customer's prescription

Claim payment reconsiderations and appeals

See our procedures related to medical claim payments.

Claims and encounter submission

Learn about the options for submitting claims electronically, the time frames for claim submission, claim status checks and more.

Claim coding and payment inquiry process guidelines

Download claim coding and payment inquiry process guidelines.

Claim mailing addresses

View addresses to use when submitting paper claims to Humana.

Claim payment policies

Learn about reimbursement methodologies and acceptable billing practices.

Claims processing updates

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

Electronic claims payments

Learn about the options Humana offers.

HumanaOne® premium payment status

Locate grace period and premium payment information.


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

Interactive voice response system

Find out what information is available through Humana’s automated system and get tips for using it.

Payment information

Learn about real-time claim adjudication, processing transactions with the Humana Access® Visa® Credit Card and more.

Preauthorization and notification lists

Download comprehensive lists of services requiring preauthorization.

Provider payment integrity policies

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

Need Help?

Texas deficiency tool

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

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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 about Humana’s commitment

Humana’s YourPractice

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

View the current issue.