This document is used for authentication of provider and member.
What is HIPPA Overview CCC Provider?
The link used to view all the members claims.
What is Claim Summary?
The quick link used to access the benefit grid for Individual plans.
What is Access Benefits Grid?
Displays member name, address, eligibility, and dependents.
What is MRI screen?
This document helps with claim denials (Next steps).
What is Ex Code Guide?
The section where you can find the providers name tax id, and specialty.
What is Provider Detail?
The link used to access the benefit grid for Group plans.
What is Additional Resources- Resource Center- Group Medicare?
Retrieves 1 specific claim processed on a member.
What is MHI line?
This document has the screens listed and are used when researching claims in Claims Administration System (CAS).
What is CAS Screen List?
The search tool to search for paper claims.
What is Humana Image View Station
The document that gives you information on different services for members.
What is VOB Table of Contents?
Displays provider demographics, address, and phone number.
What is PDI Screen?
This document has information about letters sent out from humana.
What is Previously Sent Letter Reprint CCC Provider?
The section where you can find the claim number.
What is Claim/Pre-Determination Details?
The dates of the member's plan.
What is Effective and Term Dates?
Displays the accumulation history information for a member or plan by a specific month and year.
What is MAI?
This document has Humana claims mailing address.
What is Addresses and Payer IDs CCC Provider?
Places to obtain EOR.
What is Provider Claim Statements and Associate Remittance Advice (ARI)?
This quick link has the Deductible and Max out of pocket.
What is Accumulators?
Displays coordination of benefits (COB) information of family or individual.
What is CRI?