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Humana Medicare Advantage

Medicare Advantage

Also covers: Humana, Humana Gold Plus, Humana MA

Payer ID

61101

61101 is Humana's primary professional/institutional claims payer ID (encounters use 61102). Some Humana MA plans route differently.

Timely Filing Limit (TFL)

Per provider contract; commonly up to 365 days from DOS. Verify against your contract

Appeal Window

Medicare Advantage appeals follow CMS Part C rules (commonly 60 days from the organization determination)

Clearinghouse

Availity (Humana's preferred provider portal/clearinghouse)

Provider Services

Varies — confirm via portal / clearinghouse

Claims Fax

Varies — confirm via portal / clearinghouse

Claims Address

Varies — confirm via portal / clearinghouse

Provider Portal

https://provider.humana.com/

One of the largest Medicare Advantage carriers nationwide. Verify the exact payer ID and windows against your agreement and the member's plan.

Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.

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