Claims resources

Humana supports health care professionals' administrative needs with authorization and referral information, electronic claim submission, claims edits and guidelines and more.

Pharmacist reviewing a customer's prescription

Authorizations and referrals

Get details on how to request preauthorization and submit notification for various tests and procedures, view online submission options and access state-specific forms.

Claims and encounter submission

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

Claims coding and payment inquiry guidelines

Download claim coding and payment inquiry process guidelines.

Claims mailing addresses

View addresses to use when submitting paper claims to Humana.

Claims payment policies

Learn about reimbursement methodologies and acceptable billing practices.

Claims payment reconsiderations and appeals

See our procedures related to medical claim payments.

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.

ICD-10

Find recorded training sessions and answers to frequently asked questions.

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

As part of your annual requirement to complete compliance program training, learn how to detect and prevent fraud, waste and abuse with free 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.