Coverage profile
Work HUMANA across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with HUMANA.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for HUMANA.
Other aliases
Also known as
- HUMANA HMO
- HUMANAHMO0
2027 maternity billing research
When does HUMANA change OB/GYN billing?
The supplied Humana medical claims-payment index contains no 2027 global OB CPT-deletion instruction or implementation date. It does not establish whether separate maternity guidance exists or specify a current global OB billing method.
- Transition start
- Not stated in supplied index
- Billing start
- Not stated in supplied index
- Published
- Not stated in source
- Current As Of
- August 2026
Scope: Humana medical claims-payment index; individual policies have their own program and sometimes state limitations.
Claims payment policies. Verify the payer source before claim submission.
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 61105. 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.
What states does HUMANA operate in?
HUMANA operates in AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, IA, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, NC, NE, NJ, NM, NV, NY, OH, OK, PA, SC, SD, TN, TX, VA, WA, WI, and WV.
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 | HUMANASource: Substrate payer directory · data last changed |
|---|---|
| Operating states | AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, IA, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, NC, NE, NJ, NM, NV, NY, OH, OK, PA, SC, SD, TN, TX, VA, WA, WI, WVSource: Stedi payer catalog · catalog dated · matched by payer IDSource: United Clearinghouse payer catalog · matched by payer name |
| 837P professional claims payer IDStedi | 61101Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 61101Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 61101Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 61101Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | 61101Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDAvaility | 61101Source: Availity payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .
- Stedi payer catalogMatched by payer ID; matched record: Humana. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer ID; matched record: HUMANA. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: Humana. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.