2014 formularies

Paid-through dates available on Humana.com

Physicians and practitioners can now obtain the paid-through date for both on- or off-exchange marketplace members via the secure provider Web portal on Humana.com. Also, grace period statuses for members are available via the interactive voice response (IVR) system. Both tools have been enhanced to provide more information about the eligibility status of Humana members who are on the health insurance marketplace.

To access the paid-through date online:

  1. Sign into the secure provider portal on Humana.com.
  2. Click on the “Eligibility & Benefits” icon.
  3. Search for the patient by entering the patient’s Humana member ID.

Practitioners will see the paid-through date, if available, on the “Coverage Detail” page, under the “Coverage Information” heading.

To access grace period information via IVR:

  1. Call the phone number on the back of the member’s Humana member ID card, or call 1-800-4HUMANA (1-800-448-6262).
  2. Enter the provider ID (federal tax ID) or NPI for verification purposes, as prompted.
  3. Follow the prompts to request the member’s eligibility and benefit information. If the member is in the grace period, the IVR system will state that “…claims may be denied since the member is in their grace period.”

Future enhancements 

Humana is continuing to enhance the information that is available on the secure provider portal of Humana.com and the IVR. Humana also is working to provide this information on Availity.com’s secure provider Web portal and electronic data interchange (EDI) transactions.

For questions about member eligibility, practitioners can call the phone number on the back of the member’s Humana member ID card, or 1-800-4HUMANA (1-800-448-6262). Members who have questions pertaining to paid-through date status can call the number found on the back of their Humana ID card.