FAQS

Provider self-service: Frequently asked questions

Get details on how Humana’s self-service resources can help your practice and how to begin using them.

What are Humana’s self-service resources for providers?

They are tools available to providers (upon registration) that give you secure, real-time access to patient information and allow you to quickly complete key transactions online. You may also hear these tools referred to as the “secure provider portal.”

What are the benefits of using these self-service tools?

The secure tools on Humana.com may save you time, reduce errors, increase efficiency and help improve your practice’s bottom line. You can use them to check patient eligibility and benefits online, manage claims, submit referrals and authorizations, upload and manage medical records requests from Humana and more.

Is training available?

Yes. Humana conducts free, interactive training sessions using Web and phone conferencing tools, allowing you to participate using the Internet and your phone. For more information or to register, visit Humana.com/ProviderWebinars or send an email to eBusiness@Humana.com.

How do I register for access to the self-service tools?

Register here (link opens in new window)  or click the “Register” button that appears on many pages of Humana.com. Registration is easy and only takes about 10 minutes. View flier for detailed instructions (144Kb). (link opens in new window) 

Is there a fee for access to the self-service tools?

No, there is no fee for access to the secure area of Humana.com.

How soon will I be able to access the secure section of the site?

You will be able to log in as a registered user once you complete your online application. Upon completion of the application, you will receive your user ID and password information to access the secure section.

I am having trouble with my password. Whom do I contact?

Please contact Humana's Web specialists at 1-877-845-3480, between 8 a.m. and 7 p.m. EST. You can also click the "Forgot username/password" links in the log-in section on Humana.com.

How do we set up a new user?

Your organization's primary access administrator (PAA) must set up each new user with a unique user ID and password. To do this, the PAA should sign in at Humana.com/providers and click the "Security Administration" link in the upper right corner, then click "Register New Users."

How do we change our PAA?

Sign in at Humana.com, select the “Security Administration” link in the upper-right corner of the screen and select "Print Security Forms and Documents." Select “Change Request Form for Replacing Primary Access Administrator.” Print the form, and then follow the instructions to complete it and submit it by mail. You can also fax your completed form to Humana IT Security at 1-800-968-6794.

How do we add or delete a tax ID number?

Sign in at Humana.com, select the “Security Administration” link in the upper-right corner of the screen and choose "Print Security Forms and Documents." Select “Change Request Form to Add or Delete Identifiers.” Print the form, and then follow the instructions to complete it and submit it by mail. You can also fax your completed form to Humana IT Security at 1-800-968-6794.

What is the difference between the primary controlling authority (PCA), alternate controlling authority (ACA) and the primary access administrator (PAA)?

  • Primary controlling authority (PCA) – This may be an officer, manager or principal of the organization or anyone who has the authority to sign contracts on behalf of the organization.
  • Alternate controlling authority (ACA) – The ACA is optional and can be used as a secondary signature to the PCA. This may also be an officer, manager or principal of the organization or anyone who has the authority to sign contracts on behalf of the organization.
  • Primary access administrator (PAA) – The PAA is given initial access to all Humana.com functions and has the responsibility of granting individual access to all other users.

What are the three provider types on the registration application?

  • Physician practice, facility or ancillary provider – A physician, hospital, group practice, nursing home, pharmacy or any individual or group of individuals who provide a health care service.
  • IPA, MSO, PHO, etc. – An organization such as an independent physician association (IPA), a medical service organization (MSO) or a provider health organization (PHO) that is contracted to provide services on behalf of Humana, such as credentialing, utilization management, quality management or claims payment.
  • Billing service or TPA – An organization that provides billing and collection services for a provider, or a third-party administrator (TPA) that performs administrative functions (e.g., claims processing and membership) for a self-funded plan or a startup managed care organization (MCO).

How can I access additional functions in the secure area of Humana.com?

Please contact your primary access administrator (PAA) for access to additional functions.

How can I find out who my primary access administrator (PAA) is?

Please call Humana’s Web specialists at 1-877-845-3480 to request the name of your organization’s PAA.

Whom do I contact if I'm experiencing technical problems or need assistance navigating the website?

Please send an email to eBusiness@Humana.com.