What's New

What's New

• Changes to Home Medical Equipment Provider Network

  Humana has established a long-term relationship with Apria Healthcare, making Apria our provider of choice for Humana members’ home medical equipment needs.

• Medicare Advantage Member and Primary Physician Relationship Promoted

  The 2013 plan year has Humana continuing its efforts to connect Medicare Advantage PPO and PFFS members to primary physicians.

• Prepare Now for Transition to ICD-10

  Learn more about Humana's readiness plan and find answers to your frequently asked questions for ICD-10.

• Humana Electronic Tools Designed to Heal the Claims Process

  November is the American Medical Association’s (AMA) Heal the Claims Process^™ month. Humana can help physicians and participants in the health care claims process to streamline their administrative processes in order to help eliminate administrative waste.

• Flu Vaccine Guidance

  For the 2012-2013 flu season, the Centers for Disease Control and Prevention urges everyone 6 months and older to get an annual flu vaccine.

• Valid NPI Required on All Submitted Claims/Encounters

  To satisfy a requirement by the Centers for Medicare & Medicaid Services (CMS), Humana must begin receiving provider claims/encounters data with a valid National Provider Identifier (NPI) as soon as possible and no later than the end of November 2011.

• Compliance Requirements for Health Care Providers

  The Centers for Medicare & Medicaid Services (CMS) mandates that all Humana-contracted entities, including those contracted with Humana subsidiaries, complete compliance requirements.

• Potential Drug-to-Drug Interactions

  Health care providers may soon notice an increase in communications from Humana regarding potentially problematic combinations of medications.

• Communications on Wellness Visits and Colorectal Cancer Screenings

  Humana is reaching out to Medicare members to remind them to contact their primary care physician (PCP) to make an appointment for a wellness visit.

• Claims Submission Time Frames

  Health care providers are encouraged to take note of these claims submission time frames for Medicare Advantage and commercial claims

• Humana Medicare Rewards

  Access information for physicians regarding the 2012 Humana Medicare Rewards Program

• Humana Claims Information Only a Click or Call Away

  Find information about how to accurately code and document diagnoses and services provided to Humana members.

• Important Information About Sequestration Reductions

  Find out how sequestration reductions are affecting health care providers’ payments.

• Humana Introduces Member Summary Tool

  A new tool that gives physicians a high-level overview of a patient’s key quality-related metrics and medically relevant information in a consolidated format.

• 2013 Medicare formulary changes

  See a list of commonly used medications that will be impacted by Humana Medicare formulary changes in 2013.

• High-risk Medication Formulary Changes

  Effective Jan. 1, 2013, certain drugs under the Humana Medicare formularies will have new limitations or will require utilization management for the 2013 plan year.

• 2013 commercial formulary changes

  See a list of some commonly used medications that will be impacted by Humana commercial formulary changes in 2013.

• Inpatient-only Procedure Information for Medicare Members

  Learn more about procedures that should be performed on an inpatient basis for the Medicare population

• Humana Clarifies Noncovered Services Enforcement for Facilities

  Humana Clarifies Noncovered Services Enforcement for Facilities

• Providers to be notified of Well Dine meal requests

  Providers to be notified of Well Dine meal requests

• Best Doctors^® Comes to Wisconsin-based Members

  Best Doctors^® Comes to Wisconsin-based Business Health Care Group (BHCG) Members

• New Professional and Facility Claim Code Edits Coming

  Find out more about updates to Humana’s professional and facility claims payment systems

• New Professional and Facility Claim Code Edits Effective April 13, 2013

  Find out more about updates to Humana’s professional and facility claims payment systems effective April 13, 2013

• Humana.com

  Benefit Estimator Tool Now Available

  Benefit Estimator Tool Now Available