Program-specific windows · Last verified 2026-08-30

Humana timely filing limit for dental claims

Humana publishes no single filing window — the honest answer is program-specific. Each verified window is below, with its source.

Humana Dental

Initial claims

Varies

The windows are public in Humana's own Dental Provider Manual, split by product line: “On most fully insured commercial products, claims must be submitted within 15 months from the date of service and Medicare claims must be submitted within 12 months from the date of service.”

Published openly

Corrected claims

No public number

No corrected-claim deadline is published; Humana's Q4 provider newsletter only explains marking a claim “Replacement of Prior Claim” in the Availity claim tool.

No public statement found

Records requests

No public number

No records-request window appears anywhere in the four public Humana documents the verifier read.

No public statement found

Recoupment

60 days

not a look-back cap — after an overpayment letter, providers get 60 days to refund by check “before Humana begins standard recoupment”

Published openly

Appeal windows

Written appeal (grievance-and-appeal form)

No public number The deadline is not a published number — Humana's manual sets it at “the time limits set forth in the dental insurance policy … or the time frame established by applicable state law.”

Route: Mail: Humana Grievance and Appeals, P.O. Box 14638, Lexington, KY 40512-4638 (CompBenefits plans: P.O. Box 14729, Lexington, KY 40512-4729). Informal disputes by phone at 800-833-2223; reconsiderations via DentalService@humana.com. Appeals do not go through Availity.

Humana sets different windows by product line, so there is no single preset for it — pick another payer's window or enter the day count that applies to your plan.

Find the timely-filing deadline

Date of service plus the payer's filing window, in calendar days. Estimate only — the payer's contract wording controls.

Enter a date of service to compute the deadline.

How we calculate this

Deadline = date of service + the filing window in calendar days; days left counts from your device's date today. This tool counts calendar days. Payer contracts may count differently — some windows run in months, from the end of the month of service, or from the date the payer received the claim — so treat the result as a planning estimate and confirm the payer's own contract wording. Windows outside 30730 days are clamped, and a date of service more than a year ahead is rejected as a likely typo. Payer windows in the list carry the payer's published figure; the cited source appears on that payer's page.

Nothing you type here leaves your browser — the results are computed locally on this page.

Verified caveats

  • Scope each number to its product line: the 15-month window is for most fully insured commercial products; the 12-month window is for Medicare claims.
  • The filing clock restarts “on the date the provider was notified of the error” when a claim first went to the wrong carrier.
  • Referred claim disputes get a response within 30–45 days per the manual.
  • Availity Essentials handles eligibility, claim submission and status, and remittance only — no Humana document routes appeals through Availity.
  • Humana revises the manual's asset URL between versions; the durable entry point is provider.humana.com/dentist-resources. Re-check the current manual edition before relying on a boundary case.

Sources

Last verified 2026-08-30 (research confidence: high). Dentovio is an independent publisher — not a payer, the American Dental Association, or any government agency, and it is unaffiliated with the insurers named here. This page was drafted with AI assistance and verified against the primary sources linked here. It has not been reviewed by a credentialed dental billing specialist or attorney. These pages record filing, correction, appeal, records, and recoupment windows as read in each payer's published documents on the last-verified date — and record honestly where no public number exists. Provider contracts override published manuals, editions change, and several payers set different rules per state, network, or program. Educational reference only, not billing or legal advice; confirm the controlling number in your participation contract and the payer's current provider manual before relying on it. How this data is verified