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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).

compass

Shop plans, learn about Medicare and explore member resources.

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

Humana Healthy Horizons in Virginia

Patient with a healthcare provider in an exam room

Availity Essentials™ is a secure multi-payer portal that lets you interact with Humana Healthy Horizons® in Virginia and other participating payers without having to use multiple systems and remember separate user IDs and passwords. Many Humana-specific tools are also accessible from the Humana payer space within Availity.  

Availity Essentials enables you to do the following and more online:

Check eligibility and benefits

Submit preauthorization and referral requests

Submit claims

Check the status of claims and authorizations

Send electronic attachments

Respond to medical record requests

View remittance advice

Submit disputes and appeals for finalized claims 

Manage overpayments

Request electronic remittance advice/electronic funds transfer (ERA/EFT) enrollment

Submit compliance training attestations

Access Humana-specific applications, resources, news and more!

Register for an Availity Essentials account

Learn how to register for a secure Availity Essentials account. 

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

Education & Training Resources

Availity Essentials offers free product training. Log in to Availity Essentials and click on Help & Training > Get Trained to get started.

Humana offers training courses and resources on Availity. Log in to Availity Essentials and click on Payer Spaces > Humana > Humana Learning Center to get started.

Compliance training attestation is also available in the Humana Learning Center on Availity.  

Important Features in Availity Essentials for Humana Healthy Horizons in Virginia

EFT/ERA Enrollment through Humana

Get paid faster and reduce administrative paperwork with EFT and ERA. Physicians and other healthcare providers can use Humana’s ERA/EFT enrollment tool on Availity Essentials to enroll.

Sign in to Availity Essentials (registration required)

From the Payer Spaces menu, select Humana.

From the Applications tab, select the ERA/EFT Enrollment app. (If you don’t see the app, contact an Availity administrator to discuss your need for this tool.)

When you enroll in EFT, Humana Healthy Horizons claim payments are deposited directly in the bank account(s) of your choice.

Availity Essentials

Virginia Medicaid