Humana dental claims: where and how to submit

Submit Humana dental claims electronically for the fastest payment (payer ID 73288), or by mail to the Humana Dental Claims Office, P.O. Box 14611, Lexington, KY 40512-4611. Providers manage eligibility, claims, and status through Availity Essentials. Here is the full reference, plus how to stop chasing Humana claims.

Provider customer care 800-833-2223Payer ID 73288Claims address

Last updated October 2026 · Reviewed by the PracticeAlpha billing team · Source: Humana dental provider materials

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Humana dental claims quick reference

Addresses and payer IDs change, so confirm the current details on Humana's provider materials before you rely on them.

DetailHumana dental
Claims mailing addressHumana Dental Claims Office, P.O. Box 14611, Lexington, KY 40512-4611
Electronic payer ID73288 (Medicare Advantage, group, and on-exchange plans); CX021 (CompBenefits individual plans)
Electronic submissionAvaility Essentials, or via your clearinghouse to payer ID 73288
Provider portalAvaility Essentials (availity.com)
NetworksHumana Dental PPO and Humana Dental HMO/prepaid
RequirementsValid NPI on electronic claims; current TIN speeds processing
Timely filing15 months from the date of service on most fully insured commercial plans; 12 months for Medicare
CompBenefits claims addressCompBenefits Claims Office, P.O. Box 14283, Lexington, KY 40512-4283
AppealsHumana Grievance and Appeals, P.O. Box 14638, Lexington, KY 40512-4638 (CompBenefits: P.O. Box 14729, Lexington, KY 40512-4729)
Provider customer care800-833-2223, 8 a.m. to 8 p.m. ET (FEDVIP: 877-692-2468)
Claims faxNone published; submit electronically or by mail

Humana timely filing calculator

Enter the date of service to see the filing deadline and how many days are left.

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Limits are the ones Humana publishes, as summarized on this page; the patient's own plan documents win if they differ. Corrected claims and appeals have their own deadlines (see below).

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How to submit Humana dental claims

Electronic submission is the fastest way to get Humana dental claims paid. Send them through Availity Essentials or your clearinghouse to payer ID 73288 (use CX021 for CompBenefits individual plans; the member ID card shows which applies). Paper claims go to the Humana Dental Claims Office, P.O. Box 14611, Lexington, KY 40512-4611. A valid NPI is required on electronic claims, and a current TIN on file speeds processing.

Verify eligibility and benefits on Availity before the visit. Humana's growing Medicare Advantage dental base makes eligibility and remaining-benefit checks especially important, since MA dental allowances and covered services differ from commercial plans.

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Humana dental timely filing

Humana's dental provider manual sets the filing window at 15 months from the date of service on most fully insured commercial products, and 12 months for Medicare claims. Self-funded group plans can differ, so check the plan when a claim is close to the limit.

If a claim went to another carrier first by mistake, the filing period starts on the date that carrier told you about the error. Keep the other carrier's rejection notice, because it is your proof that the clock started late.

Two payer IDs and two addresses: Humana vs CompBenefits

Humana runs two claim streams. Medicare Advantage, group, and on-exchange dental plans use payer ID 73288 and the Humana Dental Claims Office, P.O. Box 14611, Lexington, KY 40512-4611, which also handles federal claims. Individual plans such as Complete Dental and Preventive Value are CompBenefits products: payer ID CX021 and P.O. Box 14283, Lexington, KY 40512-4283.

The member ID card tells you which one applies. According to Humana, 9-digit member IDs go to 73288 and 13-digit IDs go to CX021. A patient who has both a Medicare Advantage plan and an individual Humana plan needs two separate claims, one to each.

On the dental HMO (DHMO) side, offices are paid a monthly capitation and most routine services do not need a claim. A claim is still required to receive supplemental payments, and the patient must be assigned to your office on the date of service.

Pre-treatment estimates, attachments, and documentation

Humana recommends a pre-treatment estimate for any procedure over $300. Include the procedure codes, a description of the planned treatment, pre-treatment x-rays, and an itemized cost. Pre-estimates and attachments cannot be sent through Availity, so use your clearinghouse or mail. For Medicare Advantage, federal rules from January 1, 2026 require predeterminations to be completed within 7 calendar days, so send the clinical documentation with the request, and send alternative treatment plans (for example a bridge versus an implant) as separate requests.

Electronic attachments go through Vyne FastAttach (800-782-5150) or DentalXChange (800-576-6412, ext. 455). Humana's attachment guidelines ask for:

  • Crowns: pre-operative radiographs, and for a replacement, the prior insertion date and the reason.
  • Scaling and root planing: periodontal charting, dated within one year of the date of service, plus pre-operative radiographs.
  • Prosthetics: extraction dates, the other missing teeth in the arch, and the prior carrier if the tooth was extracted before Humana coverage began.
  • Paper attachments: no photocopies, and include a self-addressed stamped envelope if you want them returned.

See our guides to dental claim attachments and predeterminations.

Humana Medicare Advantage dental: what changes on the claim

  • Payer ID 73288 applies to Medicare Advantage dental claims.
  • Network: all of Humana's DEN-series Medicare Advantage dental plans use a PPO network. "HMO" on the front of the card refers to the medical plan, not dental.
  • Exceptions: some dual-eligible plans in Illinois, Indiana, and Michigan do not use Humana's dental network, and CarePlus members in Florida use the Florida GoldPlus Dental Network.
  • KX modifier: since July 1, 2025, dental services inextricably linked to a covered medical procedure need the KX modifier on the claim. Humana recommends a predetermination first.
  • 2026 benefits: every Humana Medicare Advantage plan covers two cleanings plus exams and x-rays, but comprehensive coverage varies, so verify before treatment.

Medicare dental benefits change every January. Building that into insurance verification is the simplest way to avoid surprise denials.

Reconsiderations and appeals

Start with a call to customer care at 800-833-2223. If that does not resolve it, you can request a reconsideration by secure email to DentalService@humana.com.

For a formal appeal, write to Humana Grievance and Appeals, P.O. Box 14638, Lexington, KY 40512-4638 (phone 800-233-4013). CompBenefits plans go to P.O. Box 14729, Lexington, KY 40512-4729 (phone 800-342-5209). Include a copy of the original claim, the remittance showing the denial, and supporting records. The deadline is set by the patient's policy or state law, and either the provider or the member can appeal, but not both. When you appeal on the member's behalf, include an appointment of representative form.

For what makes an appeal succeed, see our dental appeals guide.

Humana dental claims FAQ

What is the mailing address for Humana dental claims?

Paper Humana dental claims go to the Humana Dental Claims Office, P.O. Box 14611, Lexington, KY 40512-4611. Electronic submission via Availity or payer ID 73288 is faster; confirm the current address on Humana's provider materials.

What is Humana's dental payer ID?

Humana uses payer ID 73288 for Medicare Advantage, group, and on-exchange dental plans, and CX021 for CompBenefits individual plans such as Complete Dental and Preventive Value. The member ID card shows whether the claim goes to Humana or CompBenefits.

How do I submit Humana dental claims electronically?

Through Availity Essentials or your clearinghouse to payer ID 73288 (CX021 for CompBenefits plans). A valid NPI is required. Pre-treatment estimates and attachments cannot be sent through Availity; use Vyne FastAttach or DentalXChange for attachments.

What is the timely filing limit for Humana dental claims?

Humana's provider manual sets 15 months from the date of service on most fully insured commercial products and 12 months for Medicare claims. If the claim first went to another carrier in error, the period starts when that carrier notified you.

Does Humana have a fax number for dental claims?

Humana does not publish a fax number for dental claims. Submit electronically to payer ID 73288 (or CX021 for CompBenefits plans), or mail paper claims to P.O. Box 14611, Lexington, KY 40512-4611.

How do I appeal a Humana dental claim?

Call customer care at 800-833-2223 first. For a formal appeal, write to Humana Grievance and Appeals, P.O. Box 14638, Lexington, KY 40512-4638 (CompBenefits plans: P.O. Box 14729, Lexington, KY 40512-4729) within the time limit in the patient's policy, with the original claim, the remittance showing the denial, and supporting records.

What is the Humana dental provider phone number?

Humana's provider customer care line is 800-833-2223, 8 a.m. to 8 p.m. ET. FEDVIP plans use 877-692-2468.

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