Electronic funds transfer and electronic remittance advice
Get paid faster and reduce administrative paperwork with electronic funds transfer (EFT) and electronic remittance advice (ERA). To start or update ERA and EFT, please sign in to the Availity.com portal. Enter the Humana Dental Payer Space and access the ERA/EFT Enrollment application. This functionality is no longer available on the Humana.com portal and has been fully migrated to Availity.
To access Electronic Remittance Advices
ERAs are accessible on the Availity Essentials portal. Select the Claims & Payments menu and choose Remittance Viewer. You will then see Remittance Inquiry (Humana) under Additional Remittance Tools.
Claims submissions
Claims mailing addresses
HumanaDental claims office
P.O. Box 14611
Lexington, KY 40512-4611
CompBenefits claims office
P.O. Box 14283
Lexington, KY 40512-4283
Electronic payer IDs
HumanaDental ID: 73288
CompBenefits payer ID: CX021
Support for dentists – Helpful tips regarding member benefits and claims
Learn about how to confirm Humana members’ benefits, how to submit claims or requests for pre-treatment estimates, and information about the Evidence of Remittance (EOR).
Medicare dental benefits
Are you part of the HumanaDental Medicare network or the Humana Florida GoldPlus Dental network (for patients who purchased their plan in Florida)? If so, please visit
Mandatory Medicare compliance requirements
The Humana Dental Medicare network provides benefits to Humana members enrolled in Medicare Advantage and prescription drug plan programs. The Centers for Medicare & Medicaid Services mandates that all Humana-contracted entities, including those contracted with Humana subsidiaries, complete compliance requirements each year.
Medicare basic benefit exceptions for inextricably linked dental procedures
Inextricably linked dental services require an integrated and coordinated level of care to ensure the dental services are an integral part of the Medicare covered primary procedure or service. Please visit the
DHMO and Advantage network plan summaries
Are you part of the dental health maintenance organization (DHMO) or Advantage network? If so, you may want to review these plan summaries.
Federal Dental Plan Documents
If you treat patients with the Federal Dental Plan, you can review these exclusive provider organization (EPO) and preferred provider organization (PPO) plan summaries and helpful documents
HumanaDental issues digital member ID cards
Patients covered by a Humana Dental commercial group plan have the convenience of a digital member ID card and may no longer need to present a physical member ID card. They can use Humana tools to print a paper version of their card or email or fax a copy to your office. They also may present a digital ID card using their MyHumana mobile app. We ask that you accept a digital, fax or printed version of these patients’ ID cards.
For more information, refer to these frequently asked questions and answers.
Member summary information
The Humana Member Summary is a tool that displays patient-specific, clinically relevant information in a standardized format to help you identify opportunities to improve clinical outcomes and reduce medically related costs.
Dental providers can follow these steps to access the
Third-party network access
Updated September 2023—Humana enters into agreements that grant some third parties access to Humana’s contracted provider network. The provider agreement that dental providers enter into with Humana allows Humana to provide such third parties with access to Humana’s contracted provider network and in turn Humana’s contracted dental provider’s services. If a contracted dental provider no longer wants to have third parties accessing its services under the contract the dental provider and Humana entered into, the contracted dental provider can reach out to its Humana dental representative to be removed from third-party access. Third parties with access to Humana’s contracted provider network:
- Florida Combined Life (FCL)
- Group & Pension Administrators (GPA)
- Insurance Management Services (IMS)
- New Benefits (NB)
- TeamCare, a Central States Health Plan
Rentals:
- Premier
- Connection Dental (GEHA)
- Careington CarePPO
- Careington -Medicare FL
- Careington Platinum
- Dentemax
- Dominion- Federal EPO only
- Dominion - PPO and Medicare (EFF 8-15-2023)
- Zelis
- First Dental Health (FDH)
- Diversified
- Total Dental Administrators (TDA)
- American Dental Plan of Wisconsin (ADP)
- United Concordia Dental (UCD)
- DHA (Dental Health Alliance)
Forms
W9
Some Humana networks may have additional participation criteria physicians and other healthcare providers must meet to be granted participation status. If you are eligible to use our online application, please review this important information.