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The document is a Prior Authorization Request Form for Humana members seeking approval for spinal surgery or pain management procedures. It outlines the steps to complete and submit the form, including required patient and provider information, and provides contact details for assistance. The form must be faxed to OrthoNet along with supporting clinical documentation.

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How to submit a Humana prior authorization form?

You can submit a prior authorization request form by following the options below: Online: Sign in to Availity Essentials (opens in new window) to start a request. Phone: Call 844-825-7898 (Medicare), 844-825-7899 (commercial) Fax: 469-913-6941 (Please note, this fax number is not applicable to Medicaid.

Who does Humana use for prior authorization?

Submitting a request for prior authorization You can access this service directly (registration required) or review the flyer below for details. 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.

What is an aor form Humana?

Appointment of representative form for appeals and grievances. If you are filing an appeal or grievance on behalf of a member, you need an Appointment of Representative (AOR) form or other appropriate legal documentation on file with Humana so that you are authorized to work with Humana on his or her behalf.

How do I submit a pre authorization?

Uploading records online allows for faster adjudication of claims. Log in to Availity Essentials at Availity.com (opens in new window) . From the Payer Spaces menu, select Humana. From the Applications tab, select Medical Records Management, locate the record request, and upload the records.

How long do you have to file a claim with Humana?

All claims must be submitted within 15 months after you receive a healthcare service. See your plans Proof of Loss period for details on the specific timeframe. Register with MyHumana to manage your benefits online, view your plan information and policies, and get the most from your Humana health plan.

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Does Humana cover spine surgery?

Humana Announces Two Milestones in Value-Based Orthopedic Specialty Care, Launching Bundled Payment Model for Spinal Fusion Surgeries, and Expanding Total Joint Replacement Program.

How do I upload documents to Humana?

Most of our prior authorizations are completed through Availity; however, some are managed by Humana partners. See below for prior authorizations for your Humana Medicare patients. If you dont see your service, contact our clinical intake team at 1-800-523-0023, open 24 hours a day.

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What is an aor form Humana?

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How long do you have to file a claim with Humana?

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Does Humana cover spine surgery?

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