Humana member rights
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Your rights and responsibilities
The rights and responsibilities statement reminds members and healthcare providers of their roles in maintaining a productive relationship.
New medical technology
Humana follows strict guidelines to make sure the care you are getting is clinically sound and of your best interest.
Utilization Management
Utilization management is used to determine whether a service or treatment is medically necessary and appropriate for payment under your benefit plan. Humana does not reward or provide financial incentives to doctors, other individuals or Humana employees for denying coverage or encouraging under use of service.
If you have questions or concerns related to UM, staff are available at least eight hours a day during normal business hours.
If you have questions or disagree with a coverage decision, call Member Service at the number on your ID card.