Humana provider appeals fax number

Humana's commercial standard appeals fax for nonparticipating providers is 888-556-2128. Commercial expedited appeals use 920-339-2112, and Medicare expedited appeals use 800-949-2961.

An old desktop fax machine with a handset and a coiled cord on a white desk

Humana's commercial standard appeals fax for nonparticipating providers is 888-556-2128. Commercial expedited appeals use 920-339-2112, and Medicare expedited appeals use 800-949-2961.

Which Humana appeals fax fits my appeal?

Humana's appeal fax lines sit under the guide's heading for nonparticipating healthcare providers submitting appeals, and the table below gives each number with its scope.

Fax numberWhat it covers
888-556-2128Nonparticipating providers' commercial standard appeals
920-339-2112Nonparticipating providers' commercial expedited appeals; expedited review applies when waiting for a standard decision could seriously jeopardize the member's life or health
800-949-2961Nonparticipating providers' Medicare expedited appeals; a signed Waiver of Liability holding the enrollee harmless must be included, whatever the outcome
855-336-6220Nonparticipating providers' Medicaid and dual Medicare-Medicaid expedited appeals
877-486-2621Pharmacy appeals for Medicaid and for Medicare, printed on Humana's Clinical Pharmacy Review prescriber guide

Mail for Medicare appeals goes to a different Humana address than mail for Medicaid, dual and commercial appeals, and the guide prints both addresses. The guide's Medicare appeal entry lists no standard fax.

For medical records requests rather than appeals, see the Humana medical records fax number.

What should I send with a Humana appeal fax?

A provider appealing for a Humana member must include an Appointment of Representative form. A Medicare appeal from a nonparticipating provider needs a signed Waiver of Liability that holds the enrollee harmless, whatever the outcome.

Add a cover sheet with your name, a return fax number and the page count. For the rest, see the cover sheet requirements for a HIPAA fax.

What is the difference between a Humana appeal and a dispute?

In Humana's guide, an appeal is a formal request to change an adverse determination, and a dispute is a provider's disagreement with the payment amount, a payment denial or nonpayment of a claim. Match your request to one of those definitions before you pick a line in the table above.

Can I submit a Humana appeal online instead of by fax?

Yes, Availity Essentials covers finalized Humana Medicare, Medicaid or commercial claims. Open Claims & Payments, then Appeals. Pharmacy exceptions and redeterminations go through Humana's prescription drug exceptions and appeals website, which the quick reference names.

How do I fax Humana without a fax machine?

Fax Pigeon sends the Humana appeal fax from your browser, so the practice needs no fax machine. Upload the appeal with its forms and a cover sheet, and send to the Humana number that matches the plan and urgency. Choose an expedited line only when waiting for a standard decision could seriously jeopardize the member's life or health.

Every plan includes a signed BAA at signup, your own number and delivery proof for each fax. The Basic plan is $4.99 a month billed annually ($5.99 month to month) and includes 200 pages, sent plus received, with 10¢ for each extra page. To check how a fax went through, see how to tell if a fax went through.

* Fax numbers verified October 13, 2026, on Humana's own claim payment inquiry resolution guide (PDF) (https://assets.humana.com/is/content/humana/Humana_claim-payment_inquiry_resolution_guidepdf) and Prescriber Quick Reference Guide (PDF) (https://assets.humana.com/is/content/humana/Prescriber%20Quick%20Reference%20Guidepdf).

Frequently asked questions

What is the Humana provider appeals fax number?
Humana's commercial standard appeals fax for nonparticipating providers is 888-556-2128, and its commercial expedited appeals fax is 920-339-2112. Medicare expedited appeals use 800-949-2961, and Medicaid and dual expedited appeals use 855-336-6220. Pharmacy appeals for Medicaid and Medicare use 877-486-2621. Those lines sit under the guide's heading for nonparticipating providers.
What should I include when I fax Humana for provider appeals?
A provider appealing for a Humana member must include an Appointment of Representative form. A Medicare appeal from a nonparticipating provider also needs a signed Waiver of Liability, which must be included whatever the outcome. Add a cover sheet with your name, a return fax number and the page count.
Can I submit a Humana provider appeals request online instead of by fax?
Yes, Availity Essentials covers appeals for finalized Humana Medicare, Medicaid or commercial claims: open Claims & Payments, then Appeals. Pharmacy exceptions and redeterminations go through Humana's prescription drug exceptions and appeals website, which the quick reference names. Fax appeals still go to the lines in the table.
Can I send a Humana appeal from a browser instead?
Yes. Fax Pigeon sends the Humana appeal fax from your browser, so the practice needs no fax machine. Upload the appeal with its forms and a cover sheet, and send to the Humana number that matches the plan and urgency. Every plan includes a signed BAA at signup, your own number and delivery proof for each fax.
How do I know Humana received my fax?
Each fax sent to Humana from Fax Pigeon comes with delivery proof. If a fax fails or Humana changes a number, confirm the number on the Humana guides named in the footer before you send again. Match each number to the claim type it covers, as the guides' scope lines show.

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