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Join our network and find credentialing information.

Log in to Availity Essentials™ to access patient benefits, claims information and more.

Find tools and materials to support doing business with us.

Learn more about research and trends that impact your practice.

Find self-service info and phone numbers and update your provider data.

Review prior authorization lists for services, medications and submission guidance.

Prior authorization submission information

Professionally administered drugs prior authorization

Find appeals guidelines and payment policy information.

Learn how to submit claims and find coding guidance.

Find policies for procedures, devices and medications.

Review guidelines and health programs to support your patients and practice.

Find dental benefits, tools and resources.

Prior authorization for professionally administered drugs 

Locate state-specific resources for Humana Healthy Horizons® (Medicaid).

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Shop plans, learn about Medicare and explore member resources.

Search for in-network medical, vision, dental and pharmacy providers.

Itemized bill requests

Humana sometimes reviews an itemized bill for an inpatient admission to determine whether supplies, items and services specified on the itemized bill are separately billable. If an itemized bill is not provided when requested, or if improper billing is identified during the review of an itemized bill, one or more of the following outcomes may result:

    Reimbursement reduction

    Payment recoupment

    Denial of specific charges

Humana's Itemized Bill Review for Inpatient Routine Services policy can be found on the Humana claims payment policies page. Type "itemized bill review" in the search box.

Please note that Humana's Provider Administration Manual indicates that a hospital agrees to comply with Humana's hospital audit and prepayment review policies. In addition to Humana's Itemized Bill Review for Inpatient Routine Services policy, you may wish to review the following:

    Itemized Billing Claims Payment policy; type "itemized bill" in the search box.

    Humana Provider Payment Integrity (PPI) Prepayment Review policy

    Humana PPI Postpayment Review policy



Billing and payments