Pay per submission with credits or a one-time card payment. Cost depends on patient or provider use and delivery method. No monthly subscription is required.
Medical office pricing per submission
Fax: 5 credits, or $4.99 by card when credits are insufficient.
Portal, phone or mail: 3 credits, or $2.99 by card when credits are insufficient.
Office approval is separate from payment. Personal and shared office credit balances are separate.
Prior authorization to Humana
Humana's Gold Card program exempts eligible high-performing providers from PA requirements on specific procedures. Before filing a PA request, confirm whether this provider qualifies for Gold Card status and whether the procedure falls within the exempt list — submitting an unnecessary PA creates administrative burden with no benefit. For non-exempt procedures, Humana covers Medicare Advantage, commercial, and Medicaid members.
Humana
- PA Fax
- +18004867047
- PA Phone
- +18008002583
- Standard turnaround
- 3 business days
- Urgent turnaround
- 72 hours
Humana uses Gold Carding for eligible providers. Check if the procedure requires PA first.
Humana provider portal →What you'll need
- ☐Verify Gold Card status — eligible providers may skip PA for some procedures
- ☐Confirm procedure actually requires PA (Humana has a broad PA-required list)
- ☐Ordering provider NPI
- ☐Patient member ID
- ☐ICD-10 diagnosis code(s)
- ☐CPT procedure code(s)
- ☐Clinical notes supporting medical necessity
▶▼Common denial reasons
- ⚠PA submitted for a Gold Card-exempt procedure (unnecessary)
- ⚠Missing clinical documentation for non-exempt procedures
- ⚠Cosmetic or excluded service
- ⚠Formulary alternative not tried first
Verified 2026-05-20. Check payer site for current rules →
From $2.99 per submission
Sign up free — pay by card or credits.
⚠️ BAA required for PHI
Self-service FaxSeal is not authorized for PHI. Do not use this provider workflow for HIPAA-regulated PHI unless your organization has a countersigned Enterprise BAA and written implementation approval.
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