Medical Records Management Online Submission Guide

This guide outlines the processes and advantages of online medical records submission to Humana. It details two primary methods for requesting medical records: post-payment and prepayment. The post-payment request involves medical record reviews after a claim has been processed, with a time frame of up to 18 months from claim submission to final payment, as mandated by federal law and state regulations for commercial and Medicaid plans. The prepayment request occurs prior to processing a claim, with a time frame of up to 60 days. The guide emphasizes the benefits of online submission, including the ability to quickly view requests, send records without an electronic medical record system, and verify receipt by Humana. Additional information is provided on alternative submission methods, including mailing and faxing records, as well as resources for training and customer service contacts related to the Medical Records Management tool.