Call 1-800-448-6262 for Humana commercial Provider Services, or 1-800-457-4708 for Medicare Advantage claims and preauthorization. General prior authorization, referrals, and notifications route to 1-800-523-0023. Expedited Medicare Advantage appeals use 800-867-6601. TRICARE East providers should call Humana Military directly at (800) 444-5445 — it is a separate operation from commercial and Medicare Advantage Humana. Behavioral health and Medicaid lines are state- and plan-specific, so confirm against the member ID card or Humana's provider help directory before dialing.
Why "the Humana Number" Isn't One Number
Staff searching for "the Humana provider phone number" usually want one line to save in the practice's contact sheet. Humana doesn't work that way. Commercial and Medicare Advantage claims route to different Provider Services numbers, prior authorization splits further by medical vs. pharmacy benefit and by delegated vendor (EviCore handles select imaging and musculoskeletal reviews), Medicaid runs through state-specific Humana Healthy Horizons contacts, and TRICARE East runs through Humana Military — a distinct operation from the commercial and Medicare Advantage side.
Dial the wrong one and the call either gets transferred, which restarts the hold time you already spent, or the rep can't help at all because the case lives in a different system. This is a routing map, not a script — Humana doesn't publish its literal automated-menu prompts, and those change without notice. Every number below is cross-checked against numbers Humana, Humana Military, and its delegated review vendors publish on their own provider-facing materials, so staff dial the right line the first time.
Humana Provider Contact Directory at a Glance
Stop sitting on hold with insurers.
Muni Calls handles prior authorizations, claim follow-ups, and eligibility checks — your staff gets 15+ hours back every week.
| Function | Number | Best Use |
|---|---|---|
| Provider Services (commercial) | 1-800-448-6262 | Commercial claims status and general provider questions |
| Provider Services (Medicare Advantage) | 1-800-457-4708 (TTY 711), 7 days, 8 a.m.–8 p.m. ET | Medicare Advantage claims, medical preauthorization status, and general provider questions |
| Pre-Authorization, Referrals & Notifications | 1-800-523-0023 | Submitting or checking a medical prior authorization or referral |
| Expedited Medical Necessity Determination | 866-737-5113 | Urgent preauthorization decisions where the standard timeline risks patient health |
| Pharmacy (Part D) Prior Authorization | 800-555-2546 (800-555-CLIN), Mon–Fri, 8 a.m.–8 p.m. local | Medicare Part D pharmacy-benefit prior authorization |
| EviCore Prior Authorization | 866-672-8115, 7 a.m.–7 p.m. ET | When the case instructions route a Humana authorization to EviCore; use evicore.com/provider or the fax on the case materials |
| Expedited Appeals (Medicare Advantage) | 800-867-6601 | Phone route for expedited appeal requests; use the fax on the current plan form or case notice |
| Payment Integrity / Recoupments | 1-800-438-7885 | Clinical audit, refund, and recoupment questions |
| Credentialing & Network Participation | 1-800-626-2741 | Provider Relations — credentialing status and joining the Humana network |
| TRICARE East (Humana Military) | (800) 444-5445 | Claims and provider questions for TRICARE East — a separate operation from commercial/MA Humana |
| Availity Portal Help Desk | 1-800-282-4548, Mon–Fri, 8 a.m.–8 p.m. ET | Availity sign-in issues, portal navigation, EDI/clearinghouse problems — not claims or clinical questions |
| Behavioral Health | State- and plan-specific | Humana does not publish one universal behavioral-health provider line; check the member ID card or state Medicaid contact page |
| Medicaid (Humana Healthy Horizons) | Varies by state | Use the state-specific Healthy Horizons contact page or the member ID card |
Commercial and Medicare Advantage Provider Services numbers, the general prior authorization line, and the expedited medical-necessity line come from Humana's medical and pharmacy preauthorization guidance and Humana's provider help directory. Pharmacy Part D routing comes from Humana's prior authorization and medication approval page. EviCore's phone number and hours come from its current Humana provider materials; the case notice controls because delegated programs and fax routes vary. The expedited-appeal phone number comes from Humana's current Medicare appeals page; fax routes vary by plan and request type, so use the current form or case notice. TRICARE East contacts come from Humana Military's provider guidance, and TRICARE confirms Humana Military remains the East Region contractor under T-5. Credentialing routes through Humana's provider network-join page. The Availity number and hours come from Availity Customer Support. Numbers and routing change without much notice, so treat the specific denial letter, remittance advice, authorization record, or member ID card as authoritative if it conflicts with any directory, including this one.
Provider Services Is Not the Availity Help Desk
1-800-448-6262 and 1-800-457-4708 handle claims and preauthorization status. Neither one fixes a locked Availity login or a portal error message — that's 1-800-282-4548. Calling the wrong one gets you transferred, which restarts the hold time you already spent.
The Mistake That Costs the Most Time: Calling Humana for a TRICARE East Case
TRICARE East providers are the group most likely to call the wrong operation entirely. Humana Military administers TRICARE East separately from Humana's commercial and Medicare Advantage operations — different claims systems, different provider portals, different phone tree. Calling 1-800-448-6262 about a TRICARE East claim gets routed nowhere useful, because that team has no visibility into Humana Military's system.
If the patient's coverage is TRICARE East under the current T-5 contract, use Humana Military's own line — (800) 444-5445 for claims and provider questions, or the Humana Military provider portal for self-service. TRICARE's official region directory confirms Humana Military remains the East Region contractor; six states moved to the West Region when T-5 took effect in 2025, so confirm the patient's current region before calling.
The Second Mistake: Calling Humana for an EviCore Case
The second-most-common routing error is calling Humana Provider Services for a service EviCore already reviewed. EviCore administers select imaging and musculoskeletal prior authorizations for Humana, but its own phone line and portal are separate from Humana's.
As our Humana prior authorization template guide explains, check the denial letter or authorization record for "EviCore" before dialing. If the case materials route the request to EviCore, use the EviCore portal at evicore.com/provider or call 866-672-8115 (7 a.m.–7 p.m. ET). Use the fax and urgent-request instructions on the current case materials because they vary by delegated program.
Provider Line vs. Member Services — Don't Call the Wrong One
Every number in the directory above is a provider line — the numbers Humana's own provider-facing claims, appeal, and prior authorization materials point to for practices calling on a patient's behalf. None of them is the number printed on a member's insurance card.
Humana doesn't publish one universal member customer service number the way it publishes Provider Services, because member calls route by the specific plan and product on that card. If a patient calls your office asking why "the Humana number" didn't work, they likely dialed the provider line by mistake, or vice versa — front-desk staff calling on the practice's behalf should use Provider Services or the applicable specialty line, never the number printed on the patient's own card.
What to Have Ready Before You Call
Humana's provider contact channels ask for the same identifying information before routing a request, whether by phone or through Availity. Have these ready before dialing so the call doesn't stall while someone looks them up:
- Tax ID Number (TIN) — the practice's, not an individual physician's, unless the rep asks specifically
- NPI — both the calling provider's and, if different, the ordering or rendering provider's
- Member ID and plan type — commercial, Medicare Advantage, Medicaid, or TRICARE, from the current insurance card
- The denial letter, EOB, or reference number — if the call concerns a specific claim, prior auth, or appeal already in progress
Common Mistake
Calling before checking which plan type is on the card and whether the reviewing organization field on the denial letter says "EviCore" or "Humana Military." Reps route by plan type and by which organization actually reviewed the case — a caller who has to say "let me check and call back" loses the queue position and starts over.
Hours and Getting to a Live Rep
Humana publishes 7-day, 8 a.m.–8 p.m. Eastern hours for its Medicare Advantage preauthorization line, and Monday–Friday, 8 a.m.–8 p.m. local hours for its Part D pharmacy line. EviCore publishes 7 a.m.–7 p.m. Eastern. The Availity Portal Help Desk (1-800-282-4548) publishes Monday-through-Friday hours of 8 a.m.–8 p.m. Eastern. Hours for other plan-specific contacts can vary — confirm current hours in Humana's provider help directory.
Humana doesn't publish the exact "press 1 for claims, press 2 for appeals" menu sequence, and it can change without notice — building a guide around a specific keypress script would be outdated the moment Humana updates its phone system. What's stable and verifiable is what to tell the rep once connected:
- State plainly at the top of the call whether you're calling about claims, prior authorization, or an appeal — that's the main fork most IVR trees use, and naming it up front reduces the chance of a mid-call transfer.
- Confirm the plan type — commercial, Medicare Advantage, Medicaid, or TRICARE East — before you dial, since each routes to a different Humana business unit.
- Check the denial letter for "EviCore" in the reviewing-organization field before assuming Humana itself reviewed the case.
- Have the TIN, NPI, and member ID ready the moment the system or rep asks.
- If a transfer happens anyway, ask the new rep to confirm they can see the case or reference number from the prior call, rather than restating everything from scratch.
When the Portal Beats the Phone
Availity and Resolutions.Humana.com are Humana's primary self-service channels for routine status checks, and Humana has pushed most claim, PA, and appeal status lookups there specifically to keep phone lines free for cases that actually need a live rep.
| Scenario | Portal Enough? | Call Instead When |
|---|---|---|
| Standard claim or PA status check | Usually — Availity or Resolutions.Humana.com shows current status | The portal shows nothing or the item isn't loading |
| Prior authorization submission | Often — Availity Essentials supports real-time decisions for many requests | The request needs clinical discussion or the portal flags it for review |
| Appeal status | Usually — Resolutions.Humana.com shows current status | A disputed clinical determination needs a live rep or the formal appeal path |
| EviCore-reviewed authorization | Yes — use the EviCore portal or Authorization Lookup | The case instructions provide a phone route or the vendor portal needs support |
| Credentialing / network application status | Often — check the provider portal first | Status is stuck or escalation is needed |
| Locked Availity login or portal error | No — that's the help desk, not Provider Services | Call 1-800-282-4548 directly |
Call only when a status flag needs a human to interpret, the portal shows nothing for a request that should be there, or the matter is a clinical dispute self-service tools were never built to resolve.
How Muni Calls Handles Humana Provider Calls
Muni Calls places the outbound call to the correct Humana line — commercial Provider Services, Medicare Advantage, Humana Military for TRICARE East, or the appropriate EviCore vendor line depending on plan type and who reviewed the case — states the department up front, supplies the TIN, NPI, and member ID the rep asks for, and works the claim, prior authorization, or appeal status question through to a documented answer without a staff member sitting on hold. It works across major payers, including Humana, UnitedHealthcare, the Blue Cross Blue Shield affiliates, Cigna, and Aetna. Managed payer operations get a fixed quote based on call volume and workflow complexity; the $499/month starting plan covers standardized receptionist use.
For the front-desk side of payer calls more broadly, see our prior authorization phone call script and eligibility verification call script and checklist. For Humana's appeal timelines and forms, see the Humana appeal letter template guide, the Humana appeal form guide, and Humana Medicare Advantage timely filing limits. If your practice is weighing whether to automate payer calls entirely, see our comparison of AI phone systems for medical clinics.
Frequently Asked Questions
What is the Humana provider services phone number?
1-800-448-6262 for commercial claims and general provider questions. Medicare Advantage routes to a different number: 1-800-457-4708.
What number do I call for a Humana Medicare Advantage claim or prior authorization?
1-800-457-4708 (TTY 711), available 7 days a week, 8 a.m.–8 p.m. Eastern. For general prior authorization, referrals, and notifications across plan types, Humana also publishes 1-800-523-0023.
Is Humana Military the same as Humana's commercial and Medicare Advantage provider line?
No. Humana Military administers TRICARE East as a separate operation with its own claims system, portal, and phone line — (800) 444-5445. Calling Humana's commercial Provider Services about a TRICARE East claim will not reach the right team.
How do I reach EviCore for a Humana-delegated prior authorization?
Call 866-672-8115 (7 a.m.–7 p.m. Eastern) or use the EviCore portal at evicore.com/provider when the case materials route the request to EviCore. Use the fax on those materials, and check the denial letter or authorization record for "EviCore" before assuming Humana itself reviewed the case.
What number do I call for an expedited Humana Medicare Advantage appeal?
Call 800-867-6601 to request an expedited decision. Use the fax on the current plan form or case notice because Humana publishes different fax routes by plan and request type. See our Humana appeal letter template guide for the full expedited-appeal process and letter templates.
What information does Humana ask for before helping me?
The caller's name, Tax ID Number (TIN), and NPI, plus the member ID and plan type if the call concerns a specific patient. Have the claim number, denial letter, or prior reference number ready too if one exists — reps route by that number.
Is there a different number for Humana Medicaid (Humana Healthy Horizons)?
Yes. Humana Healthy Horizons lines are state-specific rather than one national number. Behavioral health contacts in particular vary by state Medicaid program — confirm the exact state and program on the member's plan page or ID card before calling.
Should I call, or use the provider portal instead?
Use Availity or Resolutions.Humana.com first for routine status checks — most claim, PA, and appeal status lookups resolve there without a call. Call when a status flag needs a human to interpret, the portal shows nothing for something that should be there, or the case was reviewed by EviCore or Humana Military and needs their line instead.
Ready to Stop Losing Time on Hold?
Knowing which of Humana's numbers to dial — and which business unit or vendor actually reviews the case — only solves half the problem. Someone on staff still has to make the call, wait through the queue, and document what happens. That's the part worth automating.
This guide reflects 2026 Humana provider contact information as published across Humana's provider communications, Humana Military, and its delegated review vendors (EviCore). Phone numbers, hours, and routing change without much notice and vary by state and plan type — confirm against the number on the member's ID card or the specific denial/remittance notice if this guide's information conflicts with what you're told on a call. This information is for administrative and billing purposes and is not medical advice.