Hospital bed, semi-electric — prior authorization under Humana
Billing code E0260 · Category: dme
In our reference, this procedure typically requires prior authorization.
Typical turnaround is 7 day(s); Humana's
standard turnaround is 14 calendar days (72 hours if urgent).
How to submit
Availity portal, Humana Provider Portal, 800-448-6262
Documentation typically required
Physician order
Clinical necessity documentation
Common reasons this gets denied
Medical necessity not documented
Humana-specific notes
Medicare Advantage has separate PA list from commercial
CareCore for advanced imaging
Post-acute care requires InterQual criteria
Coverage limits: this page does not confirm authorization for any specific member's plan, and does not cover state-specific plan variants, out-of-network requests, or every payer x procedure pair in existence. For a definitive answer, contact Humana directly using the submission method above.
Check your own bill against this
Check a medical bill — Medigami compares each line on your bill against the Medicare benchmark for the same code, free.
Decode a denial letter — a plain-language explanation of what a denial says and what options follow from it.