Humana employee talking on headset

Learn which department to contact for more information regarding your patient’s benefits and coverage, claims, prior authorizations, your Humana contract and more.

Online tools to assist you

Eligibility, prior authorization and claims

Use the Availity Essentials portal to manage all day-to-day needs of your office online, including claims, eligibility, prior authorization, referrals and more.

Sign in Availity .

Update your contact information

Stay connected by updating your provider data (service address, phone/fax numbers, emails, etc.). This helps our members easily find you in our provider directory and ensures timely payments.

Update your demographic data

Prior authorization search tool

Search by CPT code, procedure or drug name to see if prior authorization is required. 

Use our search tool

Reach us by phone

Clinical intake team & behavioral health professionals

For medical services and Humana behavioral health service prior authorization requests and notifications, call:

Phone: 800-523-0023

Hours of operation: Open 24 hours a day

Commercial customer service

For eligibility/benefits and claims inquiries, call:

Phone: 800-4-HUMANA (800-448-6262)

Hours of operation: Monday – Friday, 8 a.m. - 8 p.m., Eastern time

Medical Medicare customer service

For eligibility/benefits and claims inquiries, call:

Phone: 800-457-4708

Hours of operation: Monday – Friday, 8 a.m. - 8 p.m., Eastern time

Dental

For all eligibility/benefits and claims inquiries, call:

Phone: 800-833-2223

Hours of operation: Monday – Friday, 8 a.m. - 8 p.m., Eastern time

Medicaid customer service

All Medicaid providers should contact the specific state for any and all Medicaid-related services and inquiries.

Florida Medicaid: 800-477-6931

Indiana Medicaid: 866-274-5888

Illinois Medicaid: 800-787-3311

Kentucky Medicaid: 800-444-9137

Louisiana Medicaid: 800-448-3810

Ohio Medicaid: 877-856-5707

Oklahoma Medicaid: 855-223-9868

South Carolina Medicaid: 866-432-0001

Provider payment integrity (PPI)

For questions about PPI audit policies recoupments and financial recovery, call:

Phone: 800-438-7885

Hours of operation: Monday – Friday, 8 a.m. - 8 p.m., Eastern time

Humana clinical pharmacy review

For medication prior authorization, step therapy, quantity limits and prescription drug exceptions, call:

Phone: 800-555-CLIN (800-555-2546)

Hours of operation: Monday – Friday, 8 a.m. - 8 p.m., Eastern time

Pharmacy medication intake team

For prior authorization of medication supplied and administered in a physician’s office and billed as a medical claim (Part B for Medicare), call:

Phone: 866-461-7273

Hours of operation: Monday – Friday, 8 a.m. - 8 p.m., Eastern time

Pharmacy Solutions network contracting

For questions about the pharmacy contracting process, including the status of requests, adding a network to a retail contract, and switching to an independent contract, call:

Phone: 888-204-8349

Hours of operation: Monday – Friday, 8 a.m. - 8 p.m., Eastern time

Explore additional resources