Humana’s benefit estimator is a secure Web tool you can use to create a personalized estimate of a patient’s payment responsibility. The estimate is specific to the health care provider and treatment/service and based on a real-time snapshot of the patient’s benefits. This facilitates financial discussions between you and your patients so that payment arrangements can be made at the time of service.
To take advantage of this tool, you must be a registered user of the Humana.com secure provider portal or the Availity Web Portal.
- Sign in to the Humana.com secure provider portal with your user ID and password.
- Choose the “Eligibility & Benefits” icon.
- Select your provider group.
- Look up the member using the “Eligibility Search” screen.
- When you see the member’s “Coverage Detail” screen, select the “Benefit Estimator” button at the top or bottom of the page.
For the Availity Web Portal
- Sign in to the Availity Web Portal at Availity.com with your user ID and password.
- Select “Eligibility and Benefits” in the left column.
- Look up the member using the “Eligibility and Benefits Inquiry” link.
- When you see the member’s coverage information, select the “Patient Cost Estimator” button at the top of the screen.
For more information about this or other Web tools, please send an email to eBusiness@Humana.com.