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

Claims and encounter submission

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.

Claim coding guidelines

Download coding guidelines related to specific diseases.

Claim mailing addresses

View addresses to use when submitting paper claims to Humana.

Claims processing updates

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

Electronic claims payments

Learn about the options Humana offers.

Humana health care reform roadmap

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

ICD-10

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

Interactive voice response system

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.

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.

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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.

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