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Humana Encounters

dentalmedical

Summary

Humana Encounters is a dental and medical payer with nationwide coverage. Claims route under payer ID 61102, with 2 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
61102Also seen as 3890, 9589
Also known as
Humana Healthy Horizons in Louisiana
Service area
Nationwide

Clearinghouse transaction setup

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

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Humana Encounters?
The payer ID for Humana Encounters is 61102. Alternate IDs seen across clearinghouses include 3890, 9589.
Does Humana Encounters require ERA enrollment?
Yes. Humana Encounters requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Humana Encounters cover?
Humana Encounters operates in Nationwide. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does Humana Encounters offer?
Humana Encounters covers dental and medical.
Can I submit claims to Humana Encounters electronically?
Yes. Humana Encounters is reachable through clearinghouses for eligibility checks, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.