How do I File Claims With Humana Veterans Healthcare Services?

Project H.E.R.O is a pilot program developed by the Department of Veterans Affairs to provide additional health care options for veterans of the United States military. Humana Veterans Healthcare Services is the private arm of the ambitious project, which began in 2007. Each provider affiliated with the service must be well versed on the seemingly complex procedures regarding patient visit information and the claims process. The guidelines for successful participation in the program are readily available to providers and can be accessed through a number of user-friendly formats.

Things You'll Need

• Phone
• Computer with Internet access
• Fax Machine

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Instructions

• 1

  Fill out an application to join the Humana Veterans Providers Network. Once approved, fill out a veteran's authorization request form following the completion of each scheduled patient visit. Additional information on joining the network can be obtained by calling 866-458-6630.

• 2

  Review the current network provider policy manual.

• 3

  Schedule an appointment to provide service to a registered veteran.

• 4

  Complete the scheduled patient visit. Fax a written consult regarding the visit to Humana Veterans service within 25 days of the visit to 866-836-4991.

• 5

  Mail a claim to:

  Humana Veterans Healthcare Services

  PO Box 7062

  Camden, SC 29021

  Humana will only accept claims filed on forms CMS 1500 or UB-04. These forms are on the Humana Veterans Healthcare website. Direct questions regarding the claims process to your local network service representative at 866-458-6630.