Coverage profile
How Substrate can help you with Humana Puerto Rico
Substrate can help practices and billers with the following claims tasks for Humana Puerto Rico.
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.
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 Rico |
|---|---|
| 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, WV |
| 837P professional claims payer IDStedi | L0200 |
| 837I institutional claims payer IDStedi | L0200 |
| 835 ERA payer IDStedi | L0200Enrollment required |
| 270 eligibility payer IDStedi | L0200 |
| 270 eligibility payer IDAvaility | HUMANA |
| 276 claim status payer IDAvaility | 61101 |
Other aliases
Also known as
- L0200
- HUMANA
