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

Dental Resources

Author by Humana Medicare Advantage dental benefits are provided by the Careington Maximum Care PPO Dental Network. This page includes information that you’ll need to work with Author by Humana.

DentalXChange Quick Start Guide, pdf opens new tab

doctor posing

Need Help?

You can call our Provider Navigators at 1-833-502-20131-833-502-2013, 8 AM - 5 PM Eastern time, Monday through Friday. We’re happy to assist you with any questions about Author by Humana.

Author by Humana Dental Benefits for 2021:

Eligibility Checks & Predeterminations:

How to Verify Eligibility or Submit a Predetermination Electronically:

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

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

  • Your written description of the proposed treatment

  • Supporting pretreatment X-rays

  • Itemized cost of the proposed treatment

  • Any other diagnostic materials that Author by Humana requests

Claims Submission & Payment:

Claim Attachment Guidelines, pdf opens new tab

How to Submit a Claim Electronically:

Electronic Data Interchange (EDI)

Author by Humana Payer ID: 73289

Other Options:

Fax or mail us a Paper Claims Form

Fax:

1-949-579-2964

Mail:

Author Claims

PO Box 253

Sidney, NE 69162

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

Grievances & Appeals:

How to Submit a Dental Appeal on Behalf of a Patient:

Fax or mail us the Dental Appeal Form, pdf opens new tab

Standard Fax:

1-833-301-1004

Expedited Fax:

1-833-301-1005

Mail:

Author Grievances & Appeals

PO Box 273

Sidney, NE 69162

Call our Provider Navigators

Phone:

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

Please Note: A request for an expedited appeal can be submitted if waiting for a standard response time frame could seriously jeopardize the member's life, health, or ability to regain maximum function. Expedited appeals are not used for claims that have already been paid or denied.

Join Careington Maximum Care PPO Dental Network:

Contracting & credentialing are managed by Careington Maximum Care PPO Dental Network.

Contact Careington

Phone:

1-800-441-03801-800-441-0380, Option 6

Mail:

7400 Gaylord Pkwy

Frisco, TX 75034

Important Resources for Members:

We encourage our members to state the following when they call you for an appointment:

"I have dental benefits with my Humana Medicare Advantage plan. The dental benefits are provided by the Careington Maximum Care PPO Dental Network."