Expedited appeal requests

You can file a request for an expedited appeal if this is regarding continuing coverage for an inpatient stay, or if you feel that not receiving an urgent decision could seriously jeopardize the member's life, health, or ability to obtain, maintain, or regain maximum function. Please note, if the member has already received the denied medication or medical service, then your request will not be eligible for receiving an expedited response.

File by phone:

1-800-867-6601 (TTY: 711), Monday – Friday, 8 a.m. – 8 p.m., Eastern time

Standard appeal requests

You have up to 60 days from the initial determination or claim denial date to request an appeal. If it has been more than 60 days, good cause will need to be provided in order to process your request.

If you choose to file a standard appeal by mail or fax, please fill out an appeal form:

Medical Service Appeal Request Form (English) , PDF opens new window

Medical Service Appeal Request Form (Spanish) , PDF opens new window

File by mail:

Humana Grievances and Appeals

P.O. Box 14165

Lexington, KY 40512-4165

File by fax:

1-800-949-2961 (for medical services)

1-877-556-7005 (for medications)

Expedited appeal requests

You can file a request for an expedited appeal if you feel that not receiving an urgent decision could seriously jeopardize the member's life, health, or ability to obtain, maintain, or regain maximum function. Please note, if the member has already received the denied medication or medical service, then your request will not be eligible for receiving an expedited response.

File by phone:

Florida Medicaid and Kentucky Medicaid members:

1-800-867-6601 (TTY: 711), Monday – Friday, 8 a.m. – 8 p.m., Eastern time

South Carolina Medicaid members:

1-866-432-0001 (TTY: 711), Monday – Friday, 8 a.m. – 6 p.m. Eastern time

Ohio Medicaid members:

1-877-856-5702 (TTY:711), Monday – Friday, 7 a.m. – 8 p.m. EST

Louisiana Medicaid Members:

1-800-448-3810 (TTY: 711), Monday – Friday, 8 a.m. – 8 p.m. EST

Standard appeal requests

You have up to 60 days from the initial determination or claim denial date to request an appeal. If it has been more than 60 days, good cause will need to be provided in order to process your request.

If you choose to file a standard appeal by mail or fax, please fill out an appeal form:

Medical Service Appeal Request Form (English) , PDF opens new window

Medical Service Appeal Request Form (Spanish) , PDF opens new window

File by mail:

Humana Grievances and Appeals

P.O. Box 14546

Lexington, KY 40512-4546

File by fax:

1-800-949-2961

1-855-336-6220 (Illinois Duals members)