Delays in a HumanaOne® member’s premium payments may result in a pended or denied claim or a request for a claims refund. Humana offers several ways for health care providers to check a patient’s eligibility.
Using the Availity Web Portal, Humana.com secure portal, interactive voice response (IVR) or X12 transaction, health care providers will get a message or messages that will indicate if the following situations apply:
This information is provided whether the member is on-exchange or off-exchange. The grace period information applies only to on-exchange members receiving the APTC.