Humana

Summary

Humana is a national insurance carrier, part of Humana Inc., offering dental, medical, and vision coverage across all 50 states + DC. Claims route under payer ID 61101, with 16 alternate IDs in use across clearinghouses. Provider enrollment typically takes 45-90 days, with applications through Humana Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

61101Also seen as 00041, 10100, 10353, 11213, 14325, 2449 and 10 more

Also known as

Arcadian Management Services, CareSource Kentucky, CareSource Kentucky Marketplace, CareSource Medicaid Kentucky, CareSource Medicare Advantage Kentucky

Uses CAQH

YesApplication route: Payer portal application

Service area

All 50 states + DC

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for Humana?

The payer ID for Humana is 61101. Alternate IDs seen across clearinghouses include 00041, 10100, 10353, 11213.

How long does Humana provider enrollment take?

Humana provider enrollment typically takes 45-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Humana require CAQH?

Yes. Humana uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

What is the provider services phone number for Humana?

Humana Provider Contact Center (commercial plans): 800-448-6262. Medicare plan questions: 800-457-4708.

Does Humana require ERA enrollment?

Yes. Humana requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

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