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Humana Healthy Horizons in Ohio

dentalmedicalvision

Summary

Humana Healthy Horizons in Ohio is a dental, medical, and vision payer operating in Ohio. Claims route under payer ID 61103, with 7 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
61103Also seen as 14384, 6110V, 7073, 9463, HUMOM, SKOH13 and 1 more
Also known as
Humana - Healthy Horizons (Ohio Medicaid), Humana Ohio Medicaid Vision, Medicaid Ohio - Humana DentaQuest, Medicaid Ohio - Humana EyeMed
Service area
OH

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
Claim status (276/277)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 Healthy Horizons in Ohio?
The payer ID for Humana Healthy Horizons in Ohio is 61103. Alternate IDs seen across clearinghouses include 14384, 6110V, 7073, 9463.
Does Humana Healthy Horizons in Ohio require ERA enrollment?
Yes. Humana Healthy Horizons in Ohio requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Humana Healthy Horizons in Ohio cover?
Humana Healthy Horizons in Ohio operates in OH. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does Humana Healthy Horizons in Ohio offer?
Humana Healthy Horizons in Ohio covers dental, medical, and vision.
Can I submit claims to Humana Healthy Horizons in Ohio electronically?
Yes. Humana Healthy Horizons in Ohio is reachable through clearinghouses for eligibility checks, claim status inquiries, 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 Spot something out of date?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.