CarePlus Health Plans (Humana, Florida)
Also covers / subsidiaries: CarePlus, Humana CarePlus
Core Payer & Clearinghouse Profile
Electronic Payer ID
95092
95092 (medical, via Availity); dental claims route to Humana Dental 73288. A Humana subsidiary in FLORIDA.
Timely Filing Limit (TFL)
Contracted 180 days; non-contracted 12 months from DOS
Appeal Window
Disputes within 18 months of claim paid date
Clearinghouse Gateway
Availity
Provider Services
800-282-4548
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
CarePlus Health Plans, Attn: Claims Dept, PO Box 14601, Lexington, KY 40512-4601
Provider Portal
https://apps.availity.com
Florida-only Medicare Advantage HMO, a Humana company. Watch the 180-day (contracted) vs 12-month (non-contracted) filing split.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for CarePlus Health Plans (Humana, Florida).
Resolution Tools for CarePlus Health Plans (Humana, Florida) Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
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