Claims and payments
The pages below lead to authorization and referral information, electronic claims submission, claims edits, educational presentations and more.
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Claims and payments
Preauthorizations and referrals
Get details on how to request preauthorization for various tests and procedures, view online submission options and access state-specific forms.
Claims and encounter submission
Learn about the options for submitting claims electronically, the time frames for claim submission, claim status checks and more.
Claims processing edits
View notifications of updates made to our claims payment systems and see notifications of upcoming changes.
Claims coding
Download claim coding and payment inquiry process guidelines.
Claims payment policies
Learn about reimbursement methodologies and acceptable billing practices.
Reconsiderations and appeals
Access information about medical claim payment reconsiderations and member appeals for Humana participating and nonparticipating physicians, hospitals and other health care providers.
Electronic claims payments
Learn about the options Humana offers.
Payment integrity and disputes
Find policies and procedures that help Humana ensure claims accuracy and handle payment discrepancies.
Claims Payment Inquiries
To simplify claim payment inquiries, Humana has worked to clarify its process and to ensure that you have the support you need.
Making it Easier
View a series of educational presentations about Humana’s claims payment policies and processes.