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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.

HIPAA

The following documents provide technical guidance to assist healthcare providers with implementation of HIPAA in relation to Humana transactions.

Healthcare claim, dental (837d, X224)

Healthcare claim, institutional (837i, X223)

Healthcare claim, professional (837p, X222)

Healthcare eligibility benefit inquiry and response (270/271, x279)

Healthcare services review – request for review and response (278, X217)

Standard companion guide transaction information (835, X221)

HIPAA content disclaimer – The information provided here is for reference use only and does not constitute the rendering of legal, financial or other professional advice or recommendations by Humana. Humana makes no representation or warranties of any kind in connection with the information provided herein and disclaims any other expressed or implied warranties, including the implied warranties of merchantability or fitness for a particular use or purpose. This webpage presents information that Humana is aware of, without implying that surveys or other formal evaluations were performed to create information presented in these documents. The listing of an organization in these documents does not imply any endorsement by Humana. Humana takes no responsibility for any products or tools offered by the organizations referenced in these documents.

HIPAA companion guides – Version 5010

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