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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.

Availity Essentials secure portal

With an Availity Essentials portal account, you can interact with participating payers without learning to use multiple systems or remembering separate payer user IDs or passwords. Many Humana-specific tools are accessible from Humana’s payer space.

Learn how to register for a secure Availity Essentials portal account

To learn more, call Availity Essentials at 800-282-4548, or visit Availity Essentials.

View a sample provider agreement

To view a sample provider agreement through your secure Availity Essentials portal account:

Sign in to your secure Availity Essentials portal account

Select Ohio as your state

Select Payer Spaces in the top navigation

Select the Humana logo

Select Resources

Select Humana Healthy Horizons in Ohio Sample Provider Agreement

Download a guide to viewing a Humana Healthy Horizons in Ohio sample provider agreement

Submitting claims, authorizations, and attachments

Until the Ohio Department of Medicaid fully launches its Ohio Medicaid Enterprise System (OMES), providers who care for Medicaid recipients with coverage through Humana Healthy Horizons® in Ohio must submit claims, authorizations, and attachments via their secure Availity Essentials account.

After logging into your Availity Essentials account, please select “OH Medicaid Payer ID (61103) – Humana Healthy Horizons (Ohio Medicaid)” from the Payer dropdown before submitting claims. Select “Humana” or “Humana Behavioral Health” from the Payer dropdown before submitting authorizations.

We will update you once ODM fully launches its OMES and providers must start submitting claims, authorizations, and attachments through the OMES front door via the ODM Provider Network Management (PNM) portal.

Register for an Availity Essentials portal account

Ohio Medicaid