Coverage profile
How Substrate can help you with Humana Encounters
Substrate can help practices and billers with the following claims tasks for Humana Encounters.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Humana Encounters.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Humana Encounters.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Humana Encounters.
2027 maternity billing research
When does Humana Encounters change OB/GYN billing?
No public 2027 maternity billing start date found. Use current contract, product, and claims-edit instructions until Humana publishes a maternity-specific transition.
- Transition start
- Not published
- Billing start
- Not published
- Published
- Not stated in source
- Current As Of
- August 2026
Scope: Humana public claims-policy index; no maternity-specific 2027 policy
Claims payment policies. Verify the payer source before claim submission.
Frequently asked questions
Humana Encounters payer FAQs
How do I check claim status with Humana Encounters?
Providers check Humana Encounters via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate Humana Encounters 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 Encounters?
The primary payer ID for Humana Encounters is 61102. 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 Encounters?
The provider portal for Humana Encounters is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Humana Encounters?
The 837P and 837I payer ID for Humana Encounters is 61102 via Stedi.
What is the 835 payer ID for Humana Encounters?
The 835 payer ID for Humana Encounters is 61102 via Stedi.
What is the 270 payer ID for Humana Encounters?
The 270 payer ID for Humana Encounters is 61102 via Stedi.
What is the 276 payer ID for Humana Encounters?
The 276 payer ID for Humana Encounters is 61101 via Availity.
Routing reference
Humana Encounters 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 EncountersSource: Substrate payer directory · last refreshed |
|---|---|
| 837P professional claims payer IDStedi | 61102Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 61102Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 61102Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 61102Source: 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. Last refreshed .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Humana Encounters. 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.
Other aliases
Also known as
- 3890
- 61102
- 9589
- Humana Healthy Horizons in Louisiana
- HUMANA HMO
- HUMANA_HMO
- HUMANA