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Humana

The provider portal for Humana is https://apps.availity.com/

Primary payer ID
61101Compare transaction IDs ↓
Last successful claim statusWithin the past 48 hoursObserved across Substrate's claim-status network.
SupportedEDI 276/277EDI 270/271Browser automation

Is your practice experiencing high volumes of no response claims or denials from Humana? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with Humana

Substrate can help practices and billers with the following claims tasks for Humana.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Humana.

Available

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Humana.

Available

Portal claim status

Browser automation

The Substrate Claim Status Agent can check claim status via the payer portal for Humana.

Available

Phone claim status

Automated phone agent
Available

Appeals agent

AI appeals workflow

The Substrate Appeals Agent can submit appeals for RFIs, medical record requests, downcoding reconsiderations, and more via the payer portal for Humana.

Available

Payer intelligence

Observed adjudication timing

How long completed claims in Substrate’s aggregate network took from payer receipt to the 835 payment date.

Median time to payment

5 days
10% of adjudications by
4 days
90% of adjudications by
6 days
Applicable state coverage
KY
Current As Of
August 2026

Six-month median trend

Days to 835 payment
Humana median observed adjudication timingMonthly median days from payer receipt to 835 payment from March 2026 through August 2026. Missing qualified months are shown as gaps.01020MarAprMayJunJulAug
View chart data as a table
Humana observed adjudication timing by service month
Service monthMedian10% of adjudications by90% of adjudications byCompleted claimsCoverage
Mar18.3 days3 days73 days546KY
Apr5 days3 days33.2 days1,383KY
May5 days3 days18.3 days4,268KY
Jun5 days4 days9 days5,207KY
Jul5 days3 days9 days4,571KY
Aug5 days4 days6 days705KY

Frequently asked questions

Humana payer FAQs

How do I check claim status with Humana?

Providers check Humana via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.

What is the payer ID for Humana?

The primary payer ID for Humana is 61101. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.

What is the provider portal for Humana?

The provider portal for Humana is https://apps.availity.com/. Available features depend on the payer and your account.

What are the 837 payer IDs for Humana?

The 837P and 837I payer ID for Humana is 61101 via Stedi.

What is the 835 payer ID for Humana?

The 835 payer ID for Humana is 61101 via Stedi.

What is the 270 payer ID for Humana?

The 270 payer ID for Humana is 61101 via Stedi.

What is the 276 payer ID for Humana?

The 276 payer IDs for Humana are 61101 via Stedi and 61101 via Availity.

Routing reference

Humana payer IDs and operating states

Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.

Humana payer name, operating states, and transaction-specific payer IDs
Payer nameHumana
837P professional claims payer IDStedi61101
837I institutional claims payer IDStedi61101
835 ERA payer IDStedi61101Enrollment required
270 eligibility payer IDStedi61101
276 claim status payer IDStedi61101
276 claim status payer IDAvaility61101

Payer contact directory

Humana phone and fax numbers

Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.

Behavioral health phone
(855) 364-0374OhioRISE
Humana payer phone and fax directory
Channel and numberPayer NotesDepartmentSpecialties
phone(855) 364-0374Behavioral healthBenefit context: Other or Additional Payor
  • OhioRISE
Mental Health

Phone and fax numbers sourced directly from the payer response

Other aliases

Also known as

  • 00041
  • 10100
  • 10353
  • 11213
  • 14325
  • 2449
  • 4544
  • 61101
  • 61101MA
  • 61108
  • 62073
  • 65031
  • 65031MA
  • 73288
  • XYMXQ
  • Z96304
  • Arcadian Management Services
  • CareSource Kentucky
  • CareSource Kentucky Marketplace
  • CareSource Medicaid Kentucky
  • CareSource Medicare Advantage Kentucky
  • Careplus health plans
  • Cariten Healthcare
  • Cariten Senior Health
  • Eagle Creek Medical Plaza
  • Emphesys
  • Emphesys Insurance Company
  • Health Value Management
  • Humana Careington
  • Humana Choice