Table of Contents
Is Humana a CareSource?
Humana Inc., one of the nation’s largest and most experienced Medicare companies, and CareSource, one of the most respected Medicaid companies in the U.S., are joining forces in a strategic alliance designed to enable both companies to more effectively serve Medicare and Medicaid beneficiaries – particularly people who …
What is CareSource number?
1-800-488-0134. CareSource.
Is CareSource a Medicare?
CareSource is an HMO with a Medicare contract.
Which type of referral is usually processed immediately?
Medical Insurance
| Question | Answer |
|---|---|
| The amount of money paid to keep an insurance policy in force is the: | premium |
| Which type of referral is usually processed immediately? | STAT |
| An established schedule of fees set for services performed by providers and paid by the patient is called an indemnity plan. | False |
What is Humana IPA?
Primary care physicians (PCPs), physician groups or independent practice associations (IPAs) acting on behalf of a PCP may request that Humana transfer a patient to another PCP. PCPs are responsible for complying with all laws, regulations or other standards and policies that may apply.
What is the payer ID for Humana clearinghouse?
If submitting a claim to a clearinghouse, use the following payer IDs for Humana: Claims: 61101 Encounters: 61102
Where can I file an EDI claim with Humana?
Healthcare providers also may file a claim by EDI through the clearinghouse of their choice. Some clearinghouses and vendors charge a service fee. Contact the clearinghouse for information. If submitting a claim to a clearinghouse, use the following payer IDs for Humana: All EDI submissions to Humana pass through Availity.
Do you need a NPI for a Humana claim?
For more information, visit Humana.com/provider/coronavirus. 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.
How to check the status of a Humana claim?
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. 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