Humana - 2022 Provider Manual and Resource Links

March 28, 2022

Humana has provided the latest provider manual and links to their resources for your office use.

Subscribe to receive our quarterly newsletter, Humana Physician News

Please click the link for the current claims Resolution Guide https://www.humana.com/provider/support/publications/

Healthcare providers Policy Questions  http://apps.humana.com/tad/tad_new/Home.aspx

Provider Support Tools  https://www.humana.com/provider/support/tools/making-it-easier

Provider Resource Guide  https://docushare-web.apps.external.pioneer.humana.com/Marketing/docushare-app?file=2554955

Helpful Tools  https://docushare-web.apps.external.pioneer.humana.com/Marketing/docushare-app?file=4269642

 

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)