Contact Humana
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.
Update contact information
Stay connected by updating your contact information (service address, phone/fax numbers, emails, etc.).
Guidelines for prior authorization
Learn how to submit a prior authorization for frequently requested services/procedures for your patients and check prior authorization lists.
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
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