How to appeal a Humana denial

To appeal a Humana denial, file an internal appeal within 60 days of the date on the denial letter; Humana returns standard decisions in 30 days, and if it upholds the denial you can request an independent external review within 4 months. Pick your treatment below for a step-by-step guide.

Appeal guides by treatment

Each guide covers the Humana-specific filing window, decision timeline, common denial reasons, and how to submit your appeal.

• Humana glp-1 weight-loss drugs denial →
• Humana mental health & behavioral health denial →
• Humana fertility & ivf denial →
• Humana adult adhd medications denial →
• Humana specialty biologics denial →
• Humana cancer treatments denial →
• Humana ms treatments denial →
• Humana surgery denied as 'not medically necessary' denial →
• Humana out-of-network emergency denial →
• Humana migraine cgrp inhibitors denial →
• Humana pediatric therapy denial →
• Humana continuous glucose monitors & insulin pumps denial →
• Humana genetic testing denial →
• Humana hepatitis c cures denial →
• Humana sleep medicine — cpap, bipap, asv, oral appliances, inspire hns denial →
• Humana dme — wheelchairs, prosthetics, orthotics denial →
• Humana dental — medical necessity, oral surgery, tmj, cleft palate denial →
• Humana interventional pain — scs, rfa, esi, kyphoplasty denial →
• Humana substance use disorder treatment (sud/moud) denial →
• Humana rare disease — ert, substrate reduction, gene therapy denial →
• Humana hiv prep & hiv treatment denial →
• Humana hearing aids, cochlear implants, baha denial →
• Humana hemophilia & bleeding disorders denial →
• Humana cystic fibrosis & pulmonary fibrosis denial →
• Humana cardiology drugs denial →
• Humana cardiac devices & procedures denial →
• Humana neurology — alzheimer's, parkinson's, als, epilepsy denial →
• Humana sickle cell & thalassemia denial →
• Humana vision & retinal — anti-vegf, ga, gene therapy denial →
• Humana kidney disease — ckd, esrd, igan, adpkd denial →
• Humana endocrine (non-diabetes) denial →
• Humana liver (non-hcv) — nash/mash, pbc, aih, wilson denial →
• Humana women's health — menopause, endometriosis, pcos, ppd denial →
• Humana copd severe + alpha-1 antitrypsin deficiency denial →
• Humana diabetes drugs & insulin denial →
• Humana asthma & severe allergies denial →
• Humana orthopedics & sports medicine denial →
• Humana gerd & severe reflux denial →
• Humana ibs & functional gi denial →
• Humana eating disorders — residential / php / iop denial →
• Humana osteoporosis denial →
• Humana long covid / pasc denial →
• Humana severe acne denial →
• Humana eosinophilic esophagitis (eoe) denial →
• Humana iv iron infusion denial →
• Humana hereditary angioedema (hae) denial →
• Humana compounded glp-1 denial →
• Humana pediatric oncology denial →
• Humana maternity & postpartum denial →
• Humana stroke & neuro rehab denial →
• Humana lupus & rheumatology denial →
• Humana chronic wound care denial →
• Humana immune globulin (ivig/scig) for pidd denial →
• Humana adult car-t cell therapy denial →
• Humana myasthenia gravis & cidp denial →
• Humana pulmonary hypertension denial →
• Humana amyloidosis (cardiac attr + al) denial →
• Humana spinal muscular atrophy denial →
• Humana autoimmune cytopenias (itp + aiha) denial →
• Humana c. difficile infection denial →
• Humana solid-organ transplant denial →
• Humana men's sexual health — trt + ed denial →
• Humana treatment-resistant depression — rtms, spravato, ect denial →
• Humana inflammatory bowel disease (crohn's + uc) denial →
• Humana plaque psoriasis + psoriatic arthritis denial →
• Humana atopic dermatitis (ad / eczema) denial →
• Humana glaucoma (drops + procedures + surgery) denial →
• Humana multiple myeloma (non-car-t) denial →
• Humana prostate cancer denial →
• Humana melanoma & melanoma-immunotherapy denial →
• Humana pediatric epilepsy denial →
• Humana growth hormone replacement therapy denial →
• Humana bph procedures + medical therapy denial →
• Humana lymphoma & leukemia (heme malignancies) denial →
• Humana bone marrow transplant (allogeneic hsct) denial →
• Humana neurosurgery — discectomy, laminectomy, craniotomy, shunt denial →
• Humana radiation oncology — proton, sbrt, brachytherapy, imrt, iort denial →
• Humana thyroid eye disease (ted) — tepezza (teprotumumab) and igf-1r therapy denial →
• Humana compounded medications (non-glp-1) — bhrt, ldn, ketamine, custom-dose pediatrics denial →
• Humana ent / otolaryngology — sinus surgery, septoplasty, tonsillectomy, head & neck denial →
• Humana vascular & endovascular — aaa, carotid, pad, varicose veins, ivc filters denial →
• Humana bariatric surgery — rygb, sleeve, duodenal switch, sadi-s, revision, esg denial →
• Humana interventional radiology — ufe, pae, tips, y-90, tumor ablation, kyphoplasty denial →
• Humana neuropsychological & psychological testing — adhd, tbi, dementia, asd, presurgical eval denial →
• Humana mohs surgery & dermatologic surgery — bcc, scc, melanoma in situ, slnb, pdt denial →
• Humana pediatric subspecialty — cardiology, gi, pulmonology, rheumatology, endocrinology, neurology denial →
• Humana reconstructive plastic surgery — lymphedema, panniculectomy, burn, mohs, hand denial →
• Humana inpatient rehab — irf / snf / ltac admission and length-of-stay denial →
• Humana hospice / palliative — eligibility, gip, recertification, concurrent care denial →
• Humana home healthcare — home nursing, home infusion, home pt/ot/slp, home aide, hospital-at-home denial →