1-833-502-20131-833-502-2013

Medical Resources

Author by Humana was created to provide a more personal service experience to some of your Humana patients. To do that, we need to function a little differently. This page includes Author-specific information for your day-to-day needs like submitting prior authorizations, submitting claims, and responding to medical records requests.

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Need Help?

You can call our Provider Navigators at 1-833-502-20131-833-502-2013, 8 AM - 5 PM Eastern time, Monday through Friday. We’re happy to assist you with any questions about Author by Humana.

Medical Prior Authorizations:

We've simplified the tools you’ve been using to make requests. Author by Humana Right Care (Utilization Management, UM) Team will intake all requests for medical prior authorization with exception of those for Musculoskeletal Care and Oncology & Radiation Oncology. Our Right Care Team is guided by the Humana Medical Authorization and Notification List (PAL) and Humana Medical Coverage Policies.

Author by Humana Medical Authorization and Notification List, pdf opens new tab

How to Request a Medical Prior Authorization Electronically:

Select Author by Humana as the payer

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Electronic Data Interchange (EDI)

Author by Humana Payer ID: 61108

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Other Options:

Fax or mail us the Authorization Request Form, pdf opens new tab

Fax:

1-833-301-1006

Mail:

Author Right Care

PO Box 254

Sidney, NE 69162

Medical Records Requests (MRM):

How to Respond to a Request for Medical Records Electronically:

Payer Spaces > Select Author by Humana > Medical Records Management

Other Options:

Fax or mail records to the listed Author by Humana business area

Medical Records Request Form Sample, pdf opens new tab

Member Eligibility & Claims Submission:

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How to Submit a Claim Electronically:

Select Author by Humana as the payer

Electronic Data Interchange (EDI)

Author by Humana Payer ID: 61108

Other Options:

Fax or mail us a Paper Claims Form

Fax:

1-949-579-2964

Mail:

Author Claims

PO Box 253

Sidney, NE 69162

Claims Payment & Disputes:

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Grievances & Appeals:

How to Submit a Medical Appeal on Behalf of a Patient:

Fax or mail us the Medical Appeal Form, pdf opens new tab

Standard Fax:

1-833-301-1004

Expedited Fax:

1-833-301-1005

Mail:

Author Grievances & Appeals

PO Box 273

Sidney, NE 69162

Please Note: A request for an expedited appeal can be submitted if waiting for a standard response time frame could seriously jeopardize the member's life, health, or ability to regain maximum function. Expedited appeals are not used for claims that have already been paid or denied.

For Prescribers:

Compliance: