Humana Medicare Advantage Plan

Humana Medicare Advantage Plan

General information

Additional information

Humana Provider Resources: https://www.humana.com/provider/

Humana COVID-19: https://www.humana.com/provider/coronavirus

Humana Claim, Provider Payment Integrity, Code Edit Resolution Process: Claim payment inquiry resolution process guide  

Humana Claims Resources: https://www.humana.com/provider/support/claims/ 

Humana Provider Contact Center: Commercial 1.800.448.6262, Medicare 1.800.457.4708. Always obtain reference number.

Humana Provider Payment Integrity Customer Service: Clinic Audit, Refund and Recoupments, 1.800.438.7885

Humana Pre-Authorization, Referrals and Notifications: www.Availity.com, 1.800.523.0023, www.Humana.com/PAL

Humana Provider Concierge Unit: If your claim payment inquiry is not resolved with the call to the Provider Contact Center, you may escalate your concern by submitting a secure email with call reference number, claim information, reason for payment dispute and your contact information to HumanaProviderServices@Humana.com

Humana Centralized Provider Relations Copy of Physician contract, Physician fee schedule, Contract Status Inquiries, Effective Dates, 1.800.626.2741

Humana Provider Self Service: Benefits/Eligibility, Referrals/Authorizations, Claims, ERA/EFT. Register at www.Availity.com

Humana Join the Network: https://www.humana.com/provider/medical-providers/network/

Humana Provider Support Tools / Education on Demand:  Making It Easier /Quick Reference Guide

Humana Provider Manual and Other Publications:  www.humana.com/provider/news/publications

Humana Healthy Horizons OH Medicaid:  www.Humana.com/HealthyOH 

Humana Market Email: Demographic changes, contract language clarifications, copy of contract, copy of fee schedule: inproviderupdates@humana.com (IN), MichiganMarket@humana.com (MI), ohionetworkspecialist@humana.com (OH)