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Humana Healthy Horizons in Ohio

Humana Healthy Horizons in Ohio

This page contains information you can use to exchange healthcare transactions with Humana Healthy Horizons in Ohio using Stedi.
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Use any of the following payer IDs to send transactions to Humana Healthy Horizons in Ohio using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
,,,,,,,
Parent group
Humana Group
Coverage types
Dental, Medical, Vision
Operating states
AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY
Covered
Not covered

Supported transactions

Use Stedi to exchange the following transactions with Humana Healthy Horizons in Ohio using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Humana Healthy Horizons in Ohio.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Humana Healthy Horizons in Ohio to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to Humana Healthy Horizons in Ohio in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Humana Healthy Horizons in Ohio and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Humana Healthy Horizons in Ohio and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Humana Healthy Horizons in Ohio to review full payment details.
Enrollment process type
Multi-step
Activation timeframe
Weeks
Not supported

Dental claims

(837D)
Submit dental claims to Humana Healthy Horizons in Ohio and receive 277 claim acknowledgments asynchronously.
Supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Humana Healthy Horizons in Ohio.
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Start processing healthcare transactions with Stedi and Humana Healthy Horizons in Ohio today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • Humana - Healthy Horizons (Ohio Medicaid)
  • Humana Ohio Medicaid Vision
  • Medicaid Ohio - Humana DentaQuest
  • Medicaid Ohio - Humana EyeMed
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