Two ways to submit a claim

  • Electronic claim submission
  • Paper claim submission

Valid National Provider Identifiers (NPIs) are required on an electronic claim submission and strongly encouraged on a paper claim submission. If a paper claim does not have all necessary NPIs, it may be denied or be subject to delays in adjudication.

Electronic claim submission

Submitting a claim electronically

Healthcare professionals and facilities can use the Availity Portal and electronic data interchange (EDI) services as no-cost solutions for submitting claims electronically. To register for the Availity Portal or to learn more about Availity claims solutions, visit Availity.com.

If submitting a claim to a clearinghouse, use the following payer IDs for Humana:

  • Claims: 61101
  • Encounters: 61102

Advanced claims editing

All EDI submissions to Humana pass through Availity. A process known as advanced claims editing (ACE) applies coding rules to a medical claim submitted through the Availity gateway via EDI before the claim enters Humana’s claim payment system. This enables a claim submitter to identify potential coding issues up front, and it reduces processing delays that can result from incomplete or inaccurate claim data.

For more information, review Electronic batch claims experience streamlined: Advanced claims editing (ACE).

Time frames to submit a claim

Please note the following time frames for submitting Medicare Advantage or commercial claims:

Medicare Advantage: Claims must be submitted within one year from the date of service or as stipulated in the provider agreement.

Commercial: Claims must be submitted within 90 days from the date of service if no other state-mandated or contractual definition applies.

If a claim is submitted in error to a carrier or agency other than Humana, the timely filing period begins on the date the provider was notified of the error by the other carrier or agency.

Checking claim status online

Healthcare professionals can check the status of a claim on the Availity Portal. Registration is required for access to the portal. Go to Availity.com

To find out more, please review this flyer.

Assistance with claim submission

If your claim is rejected at the vendor level, please contact the vendor for assistance.

If you need further assistance with an electronic claim submission, please call your vendor's customer service help line.

Texas deficient claims

If you are a Texas-based healthcare provider, read this flyer to learn how to check a deficient claim online.

View deficient claims

Paper claim submission

Checking claim status online

Healthcare professionals can check the status of submitted claims on the Availity Provider Portal


Register through Availity website

To find out more, please review
Availity instructions

Humana dental benefit claim form

Members who need to send in claim forms can use this form and mail to the address on the back of their member ID card.


Humana dental benefit claim form

Attention Providers: If you submit claims electronically, please continue to do so. This form is not required for electronically submitted claims.