Online Information Makes It Easier to Do Business with Humana


Humana's "Education on Demand" tool offers physicians, other practitioners and their office staff quick, easy-to-understand information on topics that should simplify doing business with Humana.

To access this tool, health care providers should choose:

If a computer with a sound card is not available or if the computer is not configured for streaming audio, the presentations may be accessed via telephone while viewing the slides on screen. To begin the telephone playback process, health care providers should follow these steps:

  • Click on the question mark in the bottom right corner
  • Select "Player Settings" from the pop-up box
  • Check "Use telephone playback with standard player"
  • Click the "Submit" button
  • A window will open displaying the telephone number and access code needed to hear the audio presentation

Available topics are as follows:

  • Commercial Risk Adjustment
  • HumanaAccessSM Visa Card
  • Humana Member Summary
  • Go365
  • Making It Easier for Health Care Providers
  • Special Needs Plans (SNPs)
  • Texas Deficiency Tool
  • Working with Humana
  • ConsultTM Online
  • SmartSummary® Rx

Humana’s claims education page includes educational tools that help health care providers better understand Humana’s claims policies and processes. To access the tool, physicians and health care providers can visit

The page, which will be updated with new content each month, has brief education-on-demand computer-based presentations that include a printable tip sheet with the most important information about each topic. Current topics include:

  • Professional component and technical component (PC/TC) values
  • Humana’s maximum unit values
  • Chronic care management services
  • Proper use of anatomical modifiers
  • Humana’s approach to code editing
  • Drug testing and codes
  • Humana’s approach to National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs)
  • Medicare preventive services
  • Modifier 24
  • Modifier 25
  • Modifiers 59 and X {EPSU}
  • Procedure-to-procedure code editing

Presentations can be accessed around the clock.