Frequently requested services (Medicare and commercial coverage)
For information on how to submit a preauthorization for frequently requested services/procedures for your patients with Humana commercial or Medicare coverage, please use the drop-down function below. For all other services, please reference the inpatient and outpatient requests to complete your request online or call 800-523-0023.
Preauthorization and notification lists
View documents that list services and medications for which preauthorization may be required for patients with Humana Medicaid, Medicare Advantage, dual Medicare-Medicaid and commercial coverage.
Specific medical and pharmacy coverage criteria and updates
Submitting a request with Availity
Optional fax form
State-specific preauthorization forms
- To designate your preferred contact and delivery information for communications, please refer to the “Address Change or Other Practice Information” section of the Humana Provider Manual at Humana.com/Provider Manual.
State-specific preauthorization statistics