Providers Site Map

Plans & Products

• Commercial
  • Group Health Plans
    • Consumer Driven Plans
      • High Deductible Health Plan
      • Personal Care Account PPO
      • Coverage First
    • Traditional
      • Preferred Provider Organization (PPO)
      • Health Maintenance Organization (HMO)
      • Point of Services (POS)
      • Humana Classic
    • Spending Accounts
      • Health Savings Account (HSA)
      • Personal Care Account (PCA)
      • Flexible Spending Account (FSA)
      • HumanaAccess Card
    • Prescription Drug
  • Individual
    • Health Insurance
    • Dental Insurance
• Medicare Plans
  • Individual
    • Medicare Advantage Plans
      • Humana Gold Choice PFFS
      • Humana Gold Plus HMO
      • HumanaChoicePPO
    • Prescription Drug Plans
      • Humana PDP Standard
      • Humana PDP Enhanced
      • Humana PDP Complete
  • Group Medicare Plans
    • Medicare Advantage Plans
      • Humana Gold Choice PFFS
      • Humana Gold Choice HMO
      • HumanaChoicePPO
    • Prescription Drug Plans
      • Humana Group Medicare PDP 101
      • Humana Group Medicare PDP 102
      • Humana Group Medicare PDP 105

Health & Wellness

• Chronic Conditions Program
• Heart Failure Program
• Coronary Artery Disease Program
• Renal Disease Program
• Neonatal Intensive Care Unit Program
• HumanaBeginnings
• HumanaFirst
• Meals on Wheels

Contracting Resources

Tools & Resources

• What's New
• Provider Tools
  • Clinical & Health Care Resources
    • Health Care Resources
    • Physician Advisory Committee
    • Provider Advisory Committee
    • Behavioral Health Forms
    • Medical Records Review
    • Clinical Practive Guidelines
  • Education
    • Education on Demand
    • Publications
    • Continuing Medical Education
  • Medicare
• Claims
  • Claims Submission & Payment
    • Online Tools
    • Electronic Submission
    • Claim & Encounter Addresses
    • Payments
  • Claims Policies & Procedures
    • Claims Processing Edits
    • Preauthorizatioon & Notification Lists
    • Appeals & Disputes
  • Claims Resources
    • IVR
      • MED AIL
      • Automated Precertifications
        • Frequently Asked Questions
• Prescription Tools
  • Humana's Drug List
  • RightSource
  • Generic Drug Guide
  • Patient Assistance
  • Medication Therapy Management
    • About MTM
    • MTM Resources
    • Pharmacy Eligibility
  • RxMentor
  • Prior Authorization
  • Exceptions and Appeals
• Pharmacist Resources
  • Puerto Rico Pharmacy
    • Archived News & Bulletins
  • Retail Pharmacy
    • Archived News & Bulletins
  • Long-Term Care Pharmacy
    • Archived News & Bulletins
  • Home-Infusion Pharmacy
    • Archived News & Bulletins
  • PharmacyLink
• HIPAA
  • Companion Guides
  • HIPAA Resources
  • HIPAA Edits
  • NPI
  • 835 Request Form
• Transplant Services
  • Guidelines for Transplant Programs
  • Frequently Asked Questions
  • Transplant Benefit Examples
  • Transplant Resources

Explore Provider Self Service Center

• Web Based Tutorial
  • Frequently Asked Quesitons
• Interactive Training Schedule
• Primary Access Adminstrators