Do you know the quickest and most convenient way you can notify Humana Military of a hospital admission? Online of course!

You can quickly submit a Hospital Inpatient Admission Notification online. The site is available 24/7 and can be accessed from any Web browser at your convenience. Plus, you’ll know immediately when the admission is approved.

Here’s how it works!

Go to the Online Provider Services page.  After you sign in, select “Enter a new Hospital Admission Notification” and follow the few simple steps to completion. You’ll need the following information to complete the process:
 

• Sponsor’s ID (this may be different from the patient’s Social Security Number)
• Patient’s date of birth
• Your facility’s Tax Identification number
• Admission date (expected or actual; 8 digit mmddyyyy)
• Diagnosis (if you don’t know the code, a code look-up is provided)
• A point of contact name, phone number, and extension (if applicable) for clinical information and updates

After the authorization is approved, a Humana Military health care finder sends the authorization via AutoFax to the beneficiary’s primary care manager, the rendering provider, and the facility. Humana Military also notifies the beneficiary of an approved admission.

If necessary, you can submit a Continued Stay Review and notify Humana Military of a patient’s discharge online. It’s very important to notify Humana Military when a patient is discharged to ensure proper authorization and processing of the claim.

If you prefer, the Hospital Inpatient Admission Notification can be submitted via fax or phone. If submitting via fax, fax the Patient Referral Authorization Form (PRAF) to 1-877-548-1547. To submit the notification over the phone, call the interactive voice response (IVR) Hospital Admission Notification Line at 1-800-444-5445. If you have a behavioral health admission, please contact ValueOptions at 1-800-700-8646.

• When admitting a patient, submit your authorization for a network provider—find network providers at the "Find a Provider ” feature.
• Make sure you have all of the necessary information before beginning the process.
• Authorizations are based on medical necessity and are not a guarantee of payment—provider penalties may be applied if proper authorization is not obtained or the care exceeds the scope of the authorization.
• Notify Humana Military when a patient is discharged.

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Last Reviewed:  June 14, 2007