The new Provider Quarterly Newsletter is designed to keep providers informed of changes and relative information.
, PDF opens new window
Electronic funds transfer and electronic remittance advice
Get paid faster and reduce administrative paperwork with electronic funds transfer (EFT) and electronic remittance advice (ERA). To start or update ERA and EFT, please sign in to the secure Dental portal and select the “Dental providers” dropdown at the top left of the page. The ERA/EFT link displays under the “Payments” menu.
Want to save time and increase efficiency?
Submit claims online via DentalXChange, opens new window
HumanaDental issues digital member ID cards
HumanaDental commercial group members have the convenience of a digital member ID card and may no longer need to present a physical member ID card. They may use Humana tools to print a paper version of their card or email or fax a copy to your office. They also may present a digital ID card using their MyHumana mobile app. We respectfully request that you accept a digital, fax or printed version of these patients’ ID cards.
For more information, refer to these frequently asked questions and answers.
HumanaDental digital member ID cards FAQ,PDF opens new window
Claim attachment guidelines
Before submitting a claim form to Humana, learn more about claim documentation.
Claim documentation, PDF opens new window
Medicare dental plan summary sheets and important information
Are you part of the HumanaDental Medicare network (or Careington Medicare Network in Florida)? If so, be sure to review the summary sheets for our dental plans, as well as an outline of plans sold in each state.
2019 HumanaDental Medicare network summary, PDF opens new window
2018 HumanaDental Medicare network summary, PDF opens new window
Refer to humana.com/sb for additional information.
Mandatory Medicare compliance requirements
The HumanaDental Medicare network provides benefits to Humana members enrolled in Medicare Advantage and prescription drug plan programs. The Centers for Medicare & Medicaid Services mandates that all Humana-contracted entities, including those contracted with Humana subsidiaries, complete compliance requirements on an annual basis.
Mandatory Medicare compliance requirements, PDF opens new window
DHMO and Advantage network plan summaries
Are you part of the dental health maintenance organization (DHMO) or Advantage network? If so, you may wish to review these plan summaries.
DHMO and Advantage network plan summaries, PDF opens new window
Member summary information
The Humana Member Summary is a tool that displays patient-specific, clinically relevant information in a standardized format to assist you in identifying opportunities to improve clinical outcomes and reduce medically related costs.
Member summary information