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Humana Contract Update

December 27, 2010

Health First Network has entered into a delegated arrangement with Humana for their Medicare Advantage product for Escambia and Santa Rosa Counties.

Effective January 2011 members will be assigned to Primary Care Physicians who have opted to participate in this network. HFNI will be responsible for payment of PCP claims and case management services.

Request for the following transactions should be directed to:
Eligibility and Benefit Inquiry -electronically via Availity.com or (800) 448-6262

Authorizations and Referrals- electronically via Availity.com or interactive voice response (IVR) line at 1-800-523-0023. Online preauthorization requests are encouraged.

Claims Submission -
Primary Care Services - Health First Network P.O. Box 11279 Pensacola FL 32524

All other Services - Humana Claims Office P.O. Box 14601 Lexington, KY 40512

Availity® and IVR are available 24hrs per day, seven days per week for eligibility inquiry, limited benefits and co-payments, and referral inquiry. To request access to Availity® please contact Humana Representative Anisa Oweis at aoweis@humana.com or (305) 626-5689.


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