This page collects the Humana Dental numbers, portal, payer IDs, mailing addresses and filing rules a dental front desk needs, taken from the payer's own provider materials and last checked on September 25, 2026.
Plan types: Commercial - Group (employer) dental, PPO and DHMO, Individual and family dental plans (processed via CompBenefits), FEDVIP (Federal Employees Dental and Vision Insurance Program), Humana Medicare Advantage dental - HumanaDental Medicare Network / Florida GoldPlus Dental Network (CarePlus), Medicaid dental (Humana Healthy Horizons, state-specific: FL, IN PathWays for Aging, KY, LA, OH, OK, SC, VA; also IL and MI D-SNP)
Humana Dental phone numbers for dental offices
Department | Phone | Hours |
|---|---|---|
Provider Customer Care (eligibility, benefits, claims, fee schedules) | Mon-Fri 8am-8pm ET | |
Grievance and Appeals, Humana Dental | ||
Grievance and Appeals, CompBenefits | ||
FEDVIP members | 9am-7pm ET | |
Availity Client Services (portal access) | Mon-Fri 8am-8pm ET | |
ECHO Health, Humana Dental virtual credit card | Mon-Fri 8am-6pm ET | |
Humana Healthy Horizons in Florida (Medicaid), general provider line | Mon-Fri 8am-5pm ET |
Humana Dental provider portal
The provider portal is Availity Essentials (select Humana Dental in the payer list, not Humana); register at Availity.com/provider-portal-registration: https://apps.availity.com/availity/web/public.elegant.login.
Verify eligibility and benefits
Check claim status
Submit dental claims
View remittances and manage ERA/EFT
View member ID cards and fee schedules
Download DHMO patient rosters
Patients use a separate member portal: https://www.humana.com/member.
Humana Dental payer IDs for electronic claims
Payer ID | Use for | Notes |
|---|---|---|
73288 | HumanaDental claims (commercial, Medicare Advantage, federal) | Listed for DentalXChange; the MA Dental Office Handbook confirms 73288 for Medicare dental claims. |
CX021 | CompBenefits claims (individual and family dental plans) |
Humana Dental claims and appeals mailing addresses
Send | Address |
|---|---|
Claims | Humana Dental claims office, P.O. Box 14611, Lexington, KY 40512-4611 |
Claims | CompBenefits claims office, P.O. Box 14283, Lexington, KY 40512-4283 |
Appeals | Humana, Grievance and Appeals, P.O. Box 14638, Lexington, KY 40512-4638 |
Appeals | CompBenefits, Grievance and Appeals, P.O. Box 14729, Lexington, KY 40512-4729 |
Correspondence | Overpayment refund checks: Humana Insurance, P.O. Box 931655, Atlanta, GA 31193-1655 |
Correspondence | Directory and demographic corrections: Humana c/o Dental Service, 1100 Employers Blvd., Green Bay, WI 54344 |
Timely filing limits
Original claims: 15 months (most commercial), 12 months (Medicare) from service
EFT and ERA enrollment
9-digit member IDs: enroll in Availity (Humana Dental payer space, ERA/EFT Enrollment). 13-digit member IDs: free ACH at www.providerpayments.com or fee-based ACH at https://enrollments.echohealthinc.com. Providers on virtual credit card must first disenroll at 888-483-9212. DHMO capitation EFT: email DentalService@humana.com. EFT usually completes within 3 business days.
Credentialing and network enrollment
Contact: DentalCredentialing@humana.com; CAQH ProView https://proview.caqh.org (register at www.ada.org/credentialing)
Humana uses the ADA credentialing service powered by CAQH ProView for all its dental plans. At recredentialing, authorize Humana, update documents, re-attest and email your CAQH ID. Without an updated attestation, contracts terminate 90 days after the recredentialing notice.
Plan clauses to check during verification
Missing tooth clause
Whether a missing tooth clause applies depends on the group plan. Ask whether the plan excludes replacing teeth lost before coverage began, and note the answer before you present a bridge or implant. See how to spot the missing tooth clause.
Waiting periods
Waiting periods are set by the group plan. Confirm the waiting period for basic and major services and the patient's effective date.
Downgrades (alternate benefit)
Medicare Advantage: Humana covers the lowest cost treatment that gives satisfactory results; the patient pays the difference for a higher cost choice.
Frequency limits
Medicare Advantage: 2 cleanings a year plus exams and x-rays on all MA plans (2026 handbook); details by DEN code at Humana.com/SB.
Verification checklist for Humana Dental
In Availity, select Humana Dental as the payer; selecting plain Humana will not show dental eligibility or claims.
MA members have no separate dental card: the DEN code is on the back of the medical ID card, and all MA dental uses a PPO dental network.
For MA eligibility use the member's H number, then switch to the dental ID for claim status.
If a patient has both MA and an individual (CompBenefits) plan, submit claims to each separately; they are processed independently.
Grant Humana access inside CAQH ProView; being registered in CAQH alone does not share your data.
Humana Healthy Horizons Medicaid dental is live only in certain states, and the national manual's Medicaid section is still marked coming soon.
Record the representative's name, the call reference number and the date for every phone verification.
Related guides
CompBenefits processes Humana individual and family dental claims, with its own claims office, payer ID (CX021) and grievance address.
CarePlus Health Plans, a Humana subsidiary, uses Humana for MA dental through the Florida GoldPlus Dental Network.
Humana Healthy Horizons is Humana's Medicaid brand, run state by state with its own provider lines.
Humana dental verification: Medicare Advantage vs. commercial plans
The missing tooth clause: how to spot it during verification
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Sources
Every number and address above comes from Humana Dental's own website or provider documents, checked on September 25, 2026. Payers change phone trees and PO boxes, so confirm with the payer before you mail anything time-sensitive.