Claim and encounter addresses
To decrease administrative costs and improve cash flow, clinicians and facilities are encouraged to use electronic claim submission whenever possible.
When it is necessary to submit paper claims, you can use the addresses below. Please keep in mind, however, that the claim or encounter mailing address on the member’s identification card is always the most appropriate to use.
Valid National Provider Identifiers (NPIs) are required on all electronic claims and strongly encouraged on paper claims.
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 Claims/Encounters
P.O. Box 14605
Lexington, KY 40512-4605
Claim overpayments:
Humana
P.O. Box 931655
Atlanta, GA 31193-1655
HumanaOne® claim submissions:
HumanaOne
P.O. Box 14635
Lexington, KY 40512-4635
Claims submission time frames
Health care providers are encouraged to take note of the following claims submission time frames:
Medicare Advantage: Claims must be submitted within one calendar year from the date of service.
Commercial: Claims must be submitted within the time stipulated in the provider agreement or the applicable state law. Generally, these claims must be submitted within:
180 days from the date of service for physicians.
90 days from the date of service for facilities and ancillary providers.
When a claim is submitted in error to a carrier or agency other than Humana, the timely filing period begins as of the date the provider was notified of the error by the other carrier or agency.
Billing guidelines for roster bills submitted on paper claims
Physicians and other health care providers should follow the billing guidelines below when submitting roster bills to Humana:
Physicians and health care providers may submit multiple documents in a single large envelope.
Documents may include information regarding multiple patients.
Physicians and health care providers may 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 roster bills to the following address:
Humana
Attn: Claims
P.O. Box 14601
Lexington, KY 40512-4601
Learn Medical Billing Process, Tips to best AR Specialist. Medical Insurance Billing codes, Denial, procedure code and ICD 10, coverage guidelines. Demographic, charge, payment entry, AR process and eligibility and follow up. How to Guide.
Pages
- Home
- Medical Billing Question and Answer - Terms
- Insurance Denial Claim Appeal Guidelines.
- Medical Billing Downloads
- Understand Medical Billing
- Medical Billing Outsource
- Medicare Coverage and Plan Overview
- Advertise with us
- EVALUATION AND MANAGEMENT CPT code [99201-99499] - Full List
- Overall Medical billing process
- CPT Code 99201, 99202, 99203, 99204, 99205 - Which code to USE
- Internal Medical Billing Audit - how to do

Subscribe to:
Post Comments (Atom)
Medical Billing Popular Articles
-
CPT CODE AND Description 99391 - Periodic comprehensive preventive medicine reevaluation and management of an individual including an age...
-
Procedure CODES and Descriptions 99401 - Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an indi...
-
CPT Code and description 99381 - Initial comprehensive preventive medicine evaluation and management of an individual including an age an...
-
When an ERA is received, providers may: •Post decision and payment information automatically, for individual claims included in an R...
-
Procedure code and Description 99251 Inpatient consultation for a new or established patient, which requires these 3 key components: A pro...
-
CPT code and description 80050 - General health panel This panel must include the following: Comprehensive metabolic panel (80053), ...
-
Medicare denial code and Descripiton 1 Deductible Amount 2 Coinsurance Amount 3 Co-payment Amount 4 The procedure code is inconsistent ...
-
93000-93010: Hone Your ECG Coding Skills With 3 Essential Pointers Whether you call them ECGs or EKGs, chances are you see a lot of elec...
-
Background: Type of Service (TOS) is an indicator that the contractor places on the Form CMS-1500 paper form or electronic format. The indic...
-
Billed amount: It is the Amount charged for each service performed by the provider. In other words it is the total charge value of the cla...

No comments:
Post a Comment