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  Referral Management
 
Humana Veterans Healthcare Services (HVHS) is pleased to offer referral management services to veterans in designated areas throughout the United States.  Referral management is the process by which the primary care provider refers the veteran for specialty and inpatient care.  HVHS will ensure that timely appointments are made and referral information is communicated to providers, veterans and the claims processing system.  An efficient timely referral management system will ensure high-quality specialty care and accurate, efficient payment to providers.
 


Appointment Scheduling 
   
At HVHS, our goal is to ensure continuity of care between the veteran and the specialty network providers.
 
An HVHS associate will contact the veteran within 3 to 4 business days following the receipt of an approved referral from the Veterans Administration.  The HVHS associate will facilitate a three way phone call between the beneficiary, the specialty provider and HVHS to schedule an appointment at a time that is convenient for the veteran.
 
HVHS will also send the veteran a letter, confirming the appointment date and time.  If for any reason the veteran needs to cancel or change this appointment, he/she may contact an HVHS associate at 1-866-458-6630.
 
Consult Reports 
 
Specialty providers that treat HVHS patients are required to forward a consult report to the Veteran Administration via HVHS within 10 days of the appointment.  Please forward all reports to HVHS at 1-877-371-6668.  This is a secure fax line that meets all HIPAA compliance standards.
Who to Contact
 
Call the Humana Veterans Customer Service Line at 1-866-458-6630 with any questions.

If you have a grievance please follow the Complaint and Grievance Submission Process.

 
Last Update: February 5, 2008