Humana for billing teams
Payer ID, timely filing, appeals and prior authorization for humana medicare advantage plans, from Humana's own documents, checked in October 2026.
What you get
- Payer IDs, filing limits and appeal deadlines
- A link to the payer's own document for each one
- An email when a payer changes a rule
Humana
Humana Medicare Advantage plans · checked in October 2026
- Payer ID for claims
- 61101 for claims, 61102 for encounters.Humana Medicare Advantage PPO claims
- Timely filing limit
- 1 year from the date of service, unless your agreement says otherwise.Humana 2026 Provider Manual
- Appeal deadline
- Claim disputes within 18 months of the original determination.Humana 2026 Provider Manual
- Prior authorization
- Availity, EDI 278 or 800-523-0023. The list of services is at Humana.com/PAL.Humana 2026 Provider Manual
- Pharmacy prior authorization
- CoverMyMeds, fax 877-486-2621 or phone 800-555-2546.Humana Prescriber Quick Reference Guide
- Eligibility checks
- Availity, or 270/271 by EDI.Humana 2026 Provider Manual
- Provider portal
- Availity Essentials.Humana 2026 Provider Manual
- Provider phone
- 800-457-4708.Humana 2026 Provider Manual
Humana left the employer group commercial medical business in 2025.