Humana claims , overpayment, appeal address - time limit

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

No comments:

Medical Billing Popular Articles