Claims

We want to make it as easy as possible to conduct business with us. In addition to information about how to submit claims and check payments, Humana – CareSource® offers you tools to find specific information, such as claim status and member Coordination of Benefits (COB) status. 

Humana – CareSource accepts claims in a variety of formats, including online and paper claims.

Submit Claims Online

Humana – CareSource offers this service at no cost. We encourage you to submit claims online to take advantage of the following benefits:

  • Faster claim processing
  • Reduced administrative costs
  • Reduced probability of errors or missing information
  • Faster feedback on claims status
  • Minimal staff training or cost

Refer to the provider manual for detailed information to submit claims.

Humana – CareSource also partners with Availity to offer electronic claim submission and real-time transactions at no charge through the Availity Portal. You can use the Availity Portal Registration Guide to get signed up.

Humana – CareSource contracts with Beacon Behavioral Health to provide behavioral health services. Behavioral health claims must be submitted to Beacon. For more information, visit the Behavioral Health page.

Get Paid Electronically

Humana –CareSource offers Electronic Funds Transfer (EFT) as a payment option!

Simple – Receive fully reconciled remittances electronically; eliminate paper checks and Explanation of Payments (EOPs), which will increase efficiency with payment processing.

Convenient – Available 24/7; works in conjunction with electronic medical record (EMR) systems.

Free – EFT training is also available to Humana – CareSource providers through InstaMed during the enrollment process.

Reliable – Claim payments are electronically deposited into your bank account.

Secure – Access your account through Humana – CareSource’s secure Provider Portal to view (and print if needed) remittances and transaction details. Simply complete the enrollment form and fax it back to InstaMed, Humana – CareSource’s EFT partner, who will work directly with you to enroll in EFT.

Questions? Call InstaMed at 1-866-945-7990 or Humana – CareSource Provider Services at 1-855-852-7005.

Paper Claims

For the most efficient processing of your claims, Humana – CareSource recommends you submit all claims electronically. Paper claim forms are encouraged only for services that require clinical documentation or other forms to process. Refer to your provider manual for instructions to submit paper claims.