Humana Puerto Rico
dentalmedical
Summary
Humana Puerto Rico is a dental and medical payer. Claims route under payer ID L0200. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes a few days.
At a glance
- Payer ID
L0200
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 | A few days |
Common questions
- What is the payer ID for Humana Puerto Rico?
- The payer ID for Humana Puerto Rico is L0200.
- Does Humana Puerto Rico require ERA enrollment?
- Yes. Humana Puerto Rico requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.
- What types of coverage does Humana Puerto Rico offer?
- Humana Puerto Rico covers dental and medical.
- Can I submit claims to Humana Puerto Rico electronically?
- Yes. Humana Puerto Rico 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 Spot something out of date?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.