Humana
Also covers / subsidiaries: Humana Military (TRICARE East), Humana Gold Plus, CarePlus
Core Payer & Clearinghouse Profile
Electronic Payer ID
95092
Common Humana payer ID; Medicare Advantage and Military plans may differ.
Timely Filing Limit (TFL)
90 days from the date of service (commercial; varies by plan)
Appeal Window
Varies by plan
Clearinghouse Gateway
Availity (primary), plus most major clearinghouses
Provider Services
800-448-6262
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://www.availity.com
Large Medicare Advantage presence. Humana Military administers TRICARE East.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Humana.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Humana.
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Care Plus | 95092 | Non-Par | None | 837P837I835 ERA |
| Cariten Healthcare | 61101 | Par | None | 837P837I835 ERA |
| Cariten Senior Health | 61101 | Par | None | 837P837I835 ERA |
| Group Health Insurance De | 61101 | Par | None | 837P837I835 ERA |
| Health Value Management - De (Humana) | 61101 | Par | None | 837P837I835 ERA |
| Hmpk, Inc. | 61101 | Par | None | 837P837I835 ERA |
Resolution Tools for Humana 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. Last verified 2026-06-24.
Tired of Chasing Humana Denials & Delayed Payments?
Aethera's billing specialists work Humana every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.