Humana – CareSource® evaluates prior authorization requests based on medical necessity, medical appropriateness and benefit limits.
Services That Require Prior Authorization
All services that require prior authorization from Humana – CareSource should be authorized before the service is delivered. Humana – CareSource is not able to pay claims for services in which prior authorization is required, but not obtained by the provider.
Prior Authorization Procedures
Request prior authorization for health care services via the Provider Portal or by phone, fax or mail.
Humana – CareSource
P.O. Box 8738
Dayton, OH 45401
Written prior authorization requests should be submitted on the Medical Prior Authorization Request Form.