A pen and paper for claim submission.

Claim & Encounter Addresses

Humana has taken great strides in trying to simplify and consolidate addresses for health care providers to use when submitting claims. Providers can safely default to the addresses below to submit their paper claims but should know that the claim or encounter mailing address on the member’s ID card is always the most appropriate to use.

Physicians and providers who wish to bill electronically, but cannot generate an electronic claim file, do have resources to convert existing files into Health-Insurance-Portability-and-Accountability-Act (HIPAA)-compliant electronic submissions. Contact your Humana e-business consultant at deployment@humana.com for assistance.

Paper Claim and Encounter Submissions Addresses
Humana Medical Claims:
Humana Claims
P.O. Box 14601
Lexington, KY 40512-4601
Humana of Ohio Claims: (formerly ChoiceCare®)
Humana Claims
P.O. Box 14601
Lexington, KY 40512-4601
HumanaDental® Claims:
HumanaDental® Claims
P.O. Box 14611
Lexington, KY 40512-4611
Humana Encounters:
Humana Claims/Encounters
P.O. Box 14605
Lexington, KY 40512-14605
Claim Overpayments:
Humana
P.O. Box 931655
Atlanta, GA 31193-1655
1-800-438-7885
PFFS Claims Submissions:
Humana Claims Office
P.O. Box 14601
Lexington, KY 40512-4601
HumanaOne® Claim Submissions:
HumanaOne
P.O. Box 14635
Lexington, KY 40512-4635

Claims Submission Time Frames

Health care providers are encouraged to take note of the following claims submission time frames for Medicare Advantage and commercial claims:

Plan Claims Submission Time Frame
Medicare Advantage Claims must be submitted within one calendar year from the date of service.
Commercial Claims must be submitted within the time stipulated in the provider agreement or the applicable state law.
Generally, these claims must be submitted within:
  • 180 days from the date of service for physicians
  • 90 days from the date of service for facilities and ancillary providers

Billing Guidelines for Roster Bills Submitted On Paper Claims

Physicians and health care providers should follow the billing guidelines below when submitting roster bills to Humana:

  • Physicians and health care providers may submit multiple documents in a single large envelope.
  • Documents may include information regarding multiple patients.
Instructions for Submitting Roster Bills:

Physicians and health care providers may submit CMS 1500 forms or UB04 forms with an attachment listing multiple patients receiving the same service. The claim form should have the words "see attachment" in the "Member ID" box.

Please send roster bills to the following address:

Humana
Attn: Claims
P.O. Box 14601
Lexington, KY 40512