Process Details Where to Call For Assistance with Claim Issues


Humana-participating health care providers are encouraged to follow these steps when they have a claim issue:

1. Call Humana’s provider call center at
1-800-448-6262. The center’s trained representatives can answer most claims questions and can collaborate with the claims department when further review of a claim is needed.

  1. Health care providers should note the reference number issued by the representative, as it may be needed in the future.
  2. In the event the claim issue is not satisfactorily resolved, the health care provider has the option to speak to a provider call center supervisor. If a supervisor is not available at the time of the call, one will contact the health care provider within 48 hours of the request.

2. Escalate the disputed claim(s) for root cause analysis by submitting a secure email to, but only if the health care provider believes additional research is needed on the claims decision. The health care provider should be sure to include:

  1. Reference number(s) associated with previous attempt(s) to resolve the issue
  2. Description of the issue (i.e., reason for the dispute)
  3. Expected outcome
  4. Contact information
  5. Supplemental provider submission form, which serves as a preferred template for email submissions involving multiple claims

3. Look for an “Acknowledgment of Submission” email with a tracking number five to seven business days after submission.

4. Allow the claims specialist 30 to 45 days from the date of the acknowledgment notice to research and respond to the inquiry, either by phone or email.

Nonparticipating health care providers can direct claim issues to the phone number listed on the Humana member’s ID card.