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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Author by Humana Provider Manual Appendix, pdf opens new tab
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
Availity Quick Start Guide, pdf opens new tab
Electronic Data Interchange (EDI)
Author by Humana Payer ID: 61108
Cohere Quick Start Guide, pdf opens new tab
New Century Health Quick Start Guide , pdf opens new tab
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
Member Eligibility & Claims Submission:
Author by Humana Member ID Card Sample, pdf opens new tab
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:
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.