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 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Humana.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Humana.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Humana.
Phone claim status
Automated phone agentAppeals agent
AI appeals workflowThe Substrate Appeals Agent can submit appeals for RFIs, medical record requests, downcoding reconsiderations, and more via the payer portal for Humana.
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 paymentView chart data as a table
| Service month | Median | 10% of adjudications by | 90% of adjudications by | Completed claims | Coverage |
|---|---|---|---|---|---|
| Mar | 18.3 days | 3 days | 73 days | 546 | KY |
| Apr | 5 days | 3 days | 33.2 days | 1,383 | KY |
| May | 5 days | 3 days | 18.3 days | 4,268 | KY |
| Jun | 5 days | 4 days | 9 days | 5,207 | KY |
| Jul | 5 days | 3 days | 9 days | 4,571 | KY |
| Aug | 5 days | 4 days | 6 days | 705 | KY |
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.
Can I automate Humana portal follow-up?
Yes — portal retrieval is required when 276/277 is missing or stale. See payer portal automation and learn why 276/277 is not enough.
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.
| Payer name | Humana |
|---|---|
| 837P professional claims payer IDStedi | 61101 |
| 837I institutional claims payer IDStedi | 61101 |
| 835 ERA payer IDStedi | 61101Enrollment required |
| 270 eligibility payer IDStedi | 61101 |
| 276 claim status payer IDStedi | 61101 |
| 276 claim status payer IDAvaility | 61101 |
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
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(855) 364-0374 | Behavioral healthBenefit context: Other or Additional Payor |
| 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
