Humana

Humana Timely Filing Limit

Medicare Advantage claims must be submitted within one year of date of service, or the period in the provider agreement. This is not a Medicaid filing rule.

Short answer

Medicare Advantage claims must be submitted within one year of date of service, or the period in the provider agreement. This is not a Medicaid filing rule.

Coverage: Humana Medicare Advantage and state-specific Medicaid plans. Former employer commercial medical products are not presented as current coverage.

Humana filing guidance from the reviewed sources: Medicare Advantage: one year from date of service, or the provider agreement period. Confirm the plan, provider agreement, and event that starts the filing period before submission.

At a glance

  • Medicare Advantage claims must be submitted within one year of date of service, or the period in the provider agreement. This is not a Medicaid filing rule.

Initial claim filing limits

  • Medicare Advantage: one year from date of service, or the provider agreement period.

Corrected claim filing limits

  • Not clearly published in the researched sources.

Appeal and reconsideration deadlines

  • Not clearly published in the researched sources.

Trigger basis and caveats

  • Not clearly published in the researched sources.

Provider resources

Sources

FactValueSourceConfidence
Filing source and limitsMedicare Advantage claims must be submitted within one year of date of service, or the period in the provider agreement. This is not a Medicaid filing rule.Officialhigh

Update notes

Last updated: 2026-10-30.

  • Retained the verified Medicare Advantage filing rule. Removed legacy commercial filing assumptions, payer IDs and postal addresses.
  • Medicaid rules depend on the state plan. Corrected-claim and appeal periods were not verified; use the applicable agreement.

Last reviewed: October 30, 2026

Sources used: 1 official

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