Claims and payments

The links below lead to authorization and referral information, electronic claims submission, claims edits, educational presentations and more.

Humana’s priority during the coronavirus disease 2019 (COVID-19) outbreak is to support the safety and well-being of the patients and communities we serve. For more information, visit Humana.com/provider/coronavirus.

Get details on how to request preauthorization for various tests and procedures, view online submission options and access state-specific forms.

Learn about the options for submitting claims electronically, the time frames for claim submission, claim status checks and more.

View notifications of updates made to our claims payment systems and see notifications of upcoming changes.

Download claim coding and payment inquiry process guidelines.

Learn about reimbursement methodologies and acceptable billing practices.

Access information about medical claim payment reconsiderations and appeals.

Learn about the options Humana offers.

Find policies and procedures that help Humana ensure claims accuracy and handle payment discrepancies.

View detailed information about submitting a payment inquiry.

Get information on home health billing, sequestration reduction and estimating patient responsibility.

View a series of educational presentations about Humana’s claims payment policies and processes.