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.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Several 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).
Related payers
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 Spot something out of date?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.