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.

Managing health benefits

Claims and encounter submission

View clearinghouse information, timelines, electronic submission options and more.

Electronic claims and encounters

Claim coding guidelines

Download coding guidelines related to specific diseases.

Claim coding guidelines

Claim mailing addresses

View addresses to use when submitting paper claims to Humana.

Claim and encounter addresses

Claims processing updates

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

Claim processing edits

Electronic claims payments

Learn about the options Humana offers.

Get details

Humana health care reform roadmap

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

Reform roadmap

ICD-10

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

ICD-10 information

Interactive voice response system

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

IVR

Payment information

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

Payments

Preauthorization and notification lists

Download comprehensive lists of services requiring preauthorization.

Preauthorization and notification lists

Provider payment integrity policies

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

Provider payment integrity policies
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.

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 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. (link opens in new window)