Coverage profile
Work Humana Puerto Rico 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.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Humana Puerto Rico.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Humana Puerto Rico.
Other aliases
Also known as
- L0200
- HUMANA
2027 maternity billing research
When does Humana Puerto Rico change OB/GYN billing?
The supplied Humana medical claims-payment index contains no 2027 global OB CPT-deletion instruction and does not identify a Puerto Rico product. Applicability to Humana Puerto Rico and the existence of separate product guidance remain unverified.
- 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 family-level medical claims-payment index; Puerto Rico product and dental applicability are unverified.
Claims payment policies. Verify the payer source before claim submission.
Frequently asked questions
Humana Puerto Rico payer FAQs
Can I automate Humana Puerto Rico 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 Puerto Rico?
The primary payer ID for Humana Puerto Rico is L0200. 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 Puerto Rico?
The provider portal for Humana Puerto Rico is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Humana Puerto Rico?
The 837P and 837I payer ID for Humana Puerto Rico is L0200 via Stedi.
What is the 835 payer ID for Humana Puerto Rico?
The 835 payer ID for Humana Puerto Rico is L0200 via Stedi.
What is the 270 payer ID for Humana Puerto Rico?
The 270 payer IDs for Humana Puerto Rico are L0200 via Stedi and HUMANA via Availity.
What is the 276 payer ID for Humana Puerto Rico?
The 276 payer ID for Humana Puerto Rico is 61101 via Availity.
What states does Humana Puerto Rico operate in?
Humana Puerto Rico 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 Puerto Rico 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 Puerto RicoSource: 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: United Clearinghouse payer catalog · matched by payer name |
| 837P professional claims payer IDStedi | L0200Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | L0200Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | L0200Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | L0200Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | HUMANASource: Availity payer catalog · catalog dated · matched by payer name |
| 276 claim status payer IDAvaility | 61101Source: Availity payer catalog · catalog dated · matched by payer name |
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 Puerto Rico. 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 name; 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.