Humana Prior Authorization Form
Humana requires prior authorization for certain medications and medical services to ensure they are medically necessary and appropriate. This process involves obtaining approval before the service or prescription is provided to be eligible for coverage.
Prior Authorization Forms:
Medical Services: For medical procedures, treatments, or services requiring prior authorization, healthcare providers can use Humana’s “Authorization/Referral Request Form.” This form collects patient details, provider information, and specifics about the requested service.
Prescription Medications: For medications requiring prior authorization, providers should complete the “Prior Authorization Request Form.” This form requires information about the patient’s diagnosis, medication details, and clinical justification for the request.
Submission Process:
Download the Appropriate Form: Access the necessary prior authorization form from Humana’s official website or through the navigation links provided above.
Complete the Form: Fill in all required fields with accurate and detailed information to avoid processing delays.
Submit the Form:
For Medical Services: Fax the completed form to the number specified on the form.
For Prescription Medications: Fax the completed form to 1-877-486-2621.
Additional Resources:
Online Submission: Humana offers an online portal for submitting prior authorization requests, which can expedite the process. Healthcare providers can access this service through Humana’s provider website.
Contact Information: For assistance or to submit a request via phone, providers can call 1-800-555-2546, available Monday through Friday, 8 a.m. to 8 p.m., local time.
It’s essential for healthcare providers and patients to be aware of the prior authorization requirements to prevent delays in treatment and ensure that services and medications are covered under the patient’s Humana plan.