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Humana

Humana

This page contains information you can use to exchange healthcare transactions with Humana using Stedi.
Use any of the following payer IDs to send transactions to Humana using Stedi APIs or SFTP. Read the docs
Primary Payer ID
61101
Stedi Payer ID
UYORK
Payer ID aliases
10100, 11213, 14325, 2449, 4544, 61101, 61101MA, 61108, 73288, FLHUMA, HUMANA, Z96304
EIN
39-1263473, 61-1013183
Parent group
Humana Group
Coverage types
Dental, Medical, Vision

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 to Humana.
Not supported

Coordination of benefits checks

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

Professional claims

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

Institutional claims

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

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Humana to review full payment details.
Enrollment process type
Multi-step
Activation timeframe
Weeks
Supported

Dental claims

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

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Humana.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Humana and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks 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.
  • Arcadian Management Services
  • CareSource Kentucky
  • CareSource Kentucky Marketplace
  • CareSource Medicaid Kentucky
  • CareSource Medicare Advantage Kentucky
  • Cariten Healthcare
  • Cariten Senior Health
  • Eagle Creek Medical Plaza
  • Emphesys
  • Health Value Management
  • Humana Careington
  • Humana Choice
  • Humana Dental
  • Humana of Florida
  • Lincoln National
  • Managed Care Indemnity
  • Managed Prescriptions Services
  • Medbenefixx Incorporated
  • Medical Plan of Kansas City
  • PCA Star Medicaid
  • Prime Benefits System
  • Randmark Incorporated
  • Wisconsin Employers Group
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