Coverage profile
Work Humana Healthy Horizons in Ohio 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 Healthy Horizons in Ohio.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Humana Healthy Horizons in Ohio.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Humana Healthy Horizons in Ohio.
Other aliases
Also known as
- 14384
- 61103
- 6110V
- 7073
- 9463
- D021919
- HUMOM
- SKOH13
- SKOH9
- V021919
- Humana - Healthy Horizons (Ohio Medicaid)
- Humana Ohio Medicaid Vision
- Medicaid Ohio - Humana DentaQuest
- Medicaid Ohio - Humana EyeMed
- HUMANA - HEALTHY HORIZONS OHIO MEDICAID
- 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
- 10 days
- Applicable state coverage
- KY
- Current As Of
- June 2026
Five-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 |
|---|---|---|---|---|---|
| Apr | 4 days | 4 days | 8 days | 199 | KY |
| May | 4 days | 4 days | 10 days | 259 | KY |
| Jun | 5 days | 4 days | 10 days | 232 | KY |
| Jul | No qualified data | ||||
| Aug | No qualified data | ||||
2027 maternity billing research
When does Humana Healthy Horizons in Ohio change OB/GYN billing?
The supplied Humana medical claims-payment index contains no 2027 global OB CPT-deletion instruction for Humana Healthy Horizons in Ohio. General Medicaid listings and a Kentucky postpartum LARC listing do not establish this Ohio product's maternity billing requirements or whether separate guidance exists.
- Transition start
- Not established for this record
- Billing start
- Not established for this record
- Published
- Not stated in source
- Current As Of
- August 2026
Scope: Humana medical claims-payment index; Ohio Healthy Horizons maternity applicability and dental or vision applicability are unverified.
Claims payment policies. Verify the payer source before claim submission.
Frequently asked questions
Humana Healthy Horizons in Ohio payer FAQs
How do I check claim status with Humana Healthy Horizons in Ohio?
Providers check Humana Healthy Horizons in Ohio via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate Humana Healthy Horizons in Ohio 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 Healthy Horizons in Ohio?
The primary payer ID for Humana Healthy Horizons in Ohio is 61103. 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 Healthy Horizons in Ohio?
The provider portal for Humana Healthy Horizons in Ohio is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Humana Healthy Horizons in Ohio?
The 837P and 837I payer ID for Humana Healthy Horizons in Ohio is 61103 via Stedi.
What is the 835 payer ID for Humana Healthy Horizons in Ohio?
The 835 payer ID for Humana Healthy Horizons in Ohio is 61103 via Stedi.
What is the 270 payer ID for Humana Healthy Horizons in Ohio?
The 270 payer IDs for Humana Healthy Horizons in Ohio are 61103 via Stedi and 61103 via Availity.
What is the 276 payer ID for Humana Healthy Horizons in Ohio?
The 276 payer IDs for Humana Healthy Horizons in Ohio are 61103 via Stedi and 61103 via Availity.
What state does Humana Healthy Horizons in Ohio operate in?
Humana Healthy Horizons in Ohio operates in OH.
Routing reference
Humana Healthy Horizons in Ohio 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 Healthy Horizons in OhioSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | OHSource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | 61103Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 61103Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 61103Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 61103Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 61103Source: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | 61103Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDAvaility | 61103Source: 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 .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Humana Healthy Horizons in Ohio. 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 - HEALTHY HORIZONS (OHIO MEDICAID). 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 Healthy Horizons in Ohio. 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.
Payer contact directory
Humana Healthy Horizons in Ohio 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