Plan and Issuer Price Transparency
The plan and issuer Transparency in Coverage final rule requires plans and issuers to publish their negotiated payment rates for in-network providers and their allowed amounts for out-of-network claims. We’ve created these machine-readable files to assist in meeting this requirement.
In-Network
In-Network files by plan name – For each Commercial Plan, a file is generated of the providers and the negotiated rates between the provider and Humana to pay claims
Out-of-Network
Out-of-Network files by plan name – For each Commercial Plan, a file is generated of the providers and the allowed amounts for that Out-of-Network provider
© Humana 2022
- Legal
- Privacy Policies
- Internet Privacy Statement
- Site Map
- Disclaimers & Licensure
- Fraud, Waste & Abuse
- Accessibility
- System Requirements
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability. We also provide free language interpreter services. See our full accessibility rights information and language options
Humana is a Medicare Advantage HMO, PPO and PFFS organization and a stand-alone prescription drug plan with a Medicare contract. Humana is also a Coordinated Care plan with a Medicare contract and a contract with the state Medicaid program Enrollment in any Humana plan depends on contract renewal.
This material is provided for informational use only and should not be construed as medical advice or used in place of consulting a licensed medical professional. You should consult your doctor to determine what is right for you.
Some links on this page may take you to Humana non-Medicare product or service pages or to a different website.
“Humana” is the brand name for plans, products and services provided by one or more of the subsidiaries and affiliate companies of Humana Inc. (“Humana Entities”). Plans, products, and services are solely and only provided by one or more Humana Entities specified on the plan, product, or service contract, not Humana Inc. Not all plans, products, and services are available in each state.