1-833-502-20131-833-502-2013

Dental Resources

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1-833-502-2013

Provider Navigators are available:

8 AM – 5 PM ET, Monday – Friday

Working in DentalXChange

You can submit dental predeterminations and dental claims for patients with Author by Humana through the DentalXChange ClaimConnect portal. ClaimConnect is a real-time environment that validates and processes claims as they are submitted for quick and convenient claims processing.

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Dental Quick Start Guide, pdf opens new tab
Author by Humana ID Card Sample & Plan Information, pdf opens new tab

Join Careington Maximum Care PPO Dental Network

Patients on Humana Medicare Advantage plans with service from Author by Humana access Careington’s Maximum Care PPO Dental Network which includes the subnetwork Dentemax. To provide in-network care for patients with service from Author by Humana, verify Careington Maximum Care PPO network status or contact Careington to explore joining.

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Contact Careington:

1-800-441-0380, Option 6

Predeterminations

If a procedure will cost more than $300, we recommend you submit a treatment plan for review. This should include:

  • A list of the services you plan to provide, using ADA nomenclature,

  • A written description of the proposed treatment,

  • Supporting pre-treatment X-Rays,

  • Itemized cost of the proposed treatment, and

  • Any other requested diagnostic materials

Claims Submission & Payment

Dental Claims payments will be delivered via paper check. Electronic payments from Author by Humana are not available at this time.

Electronic Submission Options:

DentalXChange


Electronic Data Interchange

Payer ID: 73289

Other options:

Fax:

1-949-579-2964

Mail:

Author Claims
PO Box 253
Sidney, NE 69162

Please Note: If a claim is identified as overpaid, Author by Humana may send a written notice of overpayment within the applicable timeframe. Author by Humana follows state regulations, provider contract requirements, and CMS provisions when processing overpayments and recoupments. For more information, contact our Provider Navigators.

All Grievances & Dental Appeals

Humana will receive all grievances and appeals. For additional detail on how to submit, see the Reconsiderations and Appeals page linked below.