To decrease administrative costs and improve cash flow, clinicians and facilities are encouraged to use electronic claim submission whenever possible.

Humana assesses an administrative fee of $5 for each claim submitted on a paper claim form. This only applies when the reimbursement amount for the claim is equal to or greater than $10.

If it is necessary to submit a paper claim, please use the addresses below. Keep in mind, however, that the claim or encounter mailing address on the member’s identification card is always the best to use.

Valid National Provider Identifiers (NPIs) are required on an electronic claim and strongly encouraged on a paper claim. If a paper claim does not have all necessary NPIs, it may be denied or be subject to delays in adjudication.

Paper claim and encounter submission addresses

Humana medical claims:

Humana Claims
P.O. Box 14601
Lexington, KY 40512-4601

HumanaDental® claims:

HumanaDental Claims
P.O. Box 14611
Lexington, KY 40512-4611

Humana encounters:

Humana Encounters
P.O. Box 14605
Lexington, KY 40512-4605

Claim overpayments:

Humana
P.O. Box 931655
Atlanta, GA 31193-1655

Time frames to submit a claim

Please note the following time frames for submitting Medicare Advantage or commercial claims:

Medicare Advantage: Claims must be submitted within one year from the date of service or as stipulated in the provider agreement.

Commercial: Claims must be submitted within 90 days from the date of service if no other state-mandated or contractual definition applies.

If a claim is submitted in error to a carrier or agency other than Humana, the timely filing period begins on the date the provider was notified of the error by the other carrier or agency.

Billing guidelines for submitting a roster bill on a paper claim

Humana reimburses for roster bills for select vaccinations. Healthcare providers should follow the billing guidelines below when submitting roster bills to Humana for those select vaccinations:

Healthcare providers can submit multiple documents in a single large envelope.
Documents may include information regarding multiple patients.
Healthcare providers can submit CMS 1500 forms or UB04 forms with an attachment listing multiple patients receiving the same service. The claim form should have the words "see attachment" in the "Member ID" box.

Please send a roster bill to the following address:

Humana
Attn: Claims
P.O. Box 14601
Lexington, KY 40512-4601

Actualización de Availity: nuevos detalles de IPA y delegación​​

Dos formas de presentar una reclamación​​

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Actualización de Availity: nuevos detalles de IPA y delegación

Dos formas de presentar una reclamación

Verificación del estatus de las reclamaciones en línea