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Humana

Humana

This page contains information you can use to exchange healthcare transactions with Humana using Stedi.
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Use any of the following payer IDs to send transactions to Humana using Stedi APIs or SFTP. Read the docs
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Humana Group
Dental, Medical, Vision
NATIONAL

Supported transactions

Use Stedi to exchange the following transactions with Humana 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.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks 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 previously submitted claim in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims and receive 277 claim acknowledgments asynchronously.
Supported,

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) to review full payment details.
Enrollment process type
Multi-step
Activation timeframe
Weeks
NPI, TIN
Not supported
Supported

Dental claims

(837D)
Submit dental claims and receive 277 claim acknowledgments asynchronously.
Supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for submitted claims.
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Start processing healthcare transactions with Stedi and Humana 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.
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  • Cariten Senior Health
  • Eagle Creek Medical Plaza
  • Emphesys
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  • Humana Dental
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  • Lincoln National
  • Managed Care Indemnity
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  • Medbenefixx Incorporated
  • Medical Plan of Kansas City
  • PCA Star Medicaid
  • Prime Benefits System
  • Randmark Incorporated
  • Wisconsin Employers Group
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