Get Humana Referral Form

Phone requests: Call 1-800-555-CLIN (2546), Monday – Friday, 8 a.m. – 8 p.m., local time. Fax requests: Complete the applicable form and fax it to 1-877-486-2621.

Depending on the type of Medicare plan you have and the treatments or services you are seeking, you may require pre-approval in order to see a specialist, obtain certain drugs, and receive certain services. It may take several days for prior authorization to be given, denied, or delayed.

An approved pre-authorization is not a guarantee of payment, but it is a good indication of your health plan's intentions to pay for the service or medication. As well, if you do have an approved preauthorization, your insurance is not promising that they will pay 100% of the costs.

Phone requests: Call 1-800-555-CLIN (2546), Monday – Friday, 8 a.m. – 8 p.m., local time. Fax requests: Complete the applicable form and fax it to 1-877-486-2621.

MyHumana® is an online portal for members of Humana insurance plans. Members can use MyHumana to perform a variety of tasks like review their plan benefits and details, manage their prescription drugs, view the status of a claim, find a doctor, pay a bill and much more.

Contact the clearinghouse for information. If submitting a claim to a clearinghouse, use the following payer IDs for Humana: Claims: 61101. Encounters: 61102.

1, Humana Medicare Advantage health plans will no longer offer peer-to peer reviews after a medical necessity denial for an authorization request for medical services. Instead, a Humana representative will call the treating physician and offer to schedule a peer-to-peer review before Humana issues the denial.

TRICARE referrals should be submitted through .humanamilitary.com (log on to Self-Service for Providers). If you do not have internet connection in your office, you may complete and submit this form by fax to 1-877-548-1547.

MRI scans are not covered under Medicare if there is no prior authorization from a doctor or if the order was not received from your healthcare provider. Additionally, if the facility providing the MRI scan does not accept Medicare, the service will not be covered.