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This form authorizes Humana Specialty Benefits to perform Electronic Funds Transfer payments for nonmedical claims to the specified financial institution of the provider.
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How to fill out humana specialty benefits eft

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How to fill out Humana Specialty Benefits EFT Authorization

01
Obtain the Humana Specialty Benefits EFT Authorization form from Humana's official website or customer service.
02
Fill in the provider's name and Tax Identification Number (TIN) in the designated fields.
03
Provide the necessary contact information, including address, phone number, and email.
04
Indicate the bank account information where payments will be directly deposited, including bank name, account number, and routing number.
05
Review the terms of the authorization carefully to ensure understanding.
06
Sign and date the authorization form to validate the submission.
07
Submit the completed form to Humana as instructed, either via email, mail, or fax.

Who needs Humana Specialty Benefits EFT Authorization?

01
Healthcare providers, including doctors, clinics, and hospitals, that bill Humana for services provided to their patients need to complete the EFT Authorization.
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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.
If submitting a claim to a clearinghouse, use the following payer IDs for Humana: Claims: 61101. Encounters: 61102.
EFT/ERA enrollment Sign into Availity Essentials (opens in new window) (registration required). From the Payer Spaces menu, select Humana. From the Applications tab, select the ERA/EFT Enrollment app. (If you don't see the app, contact your Availity administrator to discuss your need for this tool.)
Shares of health insurance company Humana (NYSE:HUM) fell 3.2% in the morning session after the company lost a lawsuit seeking to reverse cuts to its Medicare bonus payments. A Texas district court ruled in favor of the U.S. government, affirming the Medicare program's downgrade of Humana's quality ratings.
You can set up one-time or recurring EFT transactions and allow up to three layers of approval for sending or receiving money. To set up a payment to another account, you need their bank account number, their institution number, branch number and account number, and their transit number.
EFT/ERA enrollment Sign into Availity Essentials (opens in new window) (registration required). From the Payer Spaces menu, select Humana. From the Applications tab, select the ERA/EFT Enrollment app. (If you don't see the app, contact your Availity administrator to discuss your need for this tool.)

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Humana Specialty Benefits EFT Authorization is a form that allows healthcare providers to authorize electronic funds transfers (EFT) for payments related to specialty health benefits provided by Humana.
Healthcare providers who wish to receive payments electronically from Humana for specialty services are required to file the Humana Specialty Benefits EFT Authorization.
To fill out the Humana Specialty Benefits EFT Authorization, providers need to provide their banking details, including account number and routing number, along with their identification and contact information on the form.
The purpose of the Humana Specialty Benefits EFT Authorization is to facilitate timely and secure electronic payments for specialty services, reducing paper check processing and improving cash flow for providers.
Information that must be reported includes the provider's name, National Provider Identifier (NPI), bank account number, routing number, and any other relevant contact information specified on the form.
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