New Professional and Facility Claim Code Edits Coming on April 13, 2013
Humana will be updating our claim payment systems to better align with correct-coding initiatives, Centers for Medicare & Medicaid Services (CMS) guidelines, national benchmarks and industry standards regarding professional and facility claims.
- Physician/Health Care Providers All Markets (Excluding Puerto Rico) - effective 4/13/2013
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- Physician/Health Care Providers Puerto Rico Only - effective 4/13/2013
- (339 KB) PDF
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- Inpatient/Outpatient Facilities All Markets (Excluding Puerto Rico) - effective 6/22/2013
- (253 KB) PDF
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- Inpatient/Outpatient Facilities Puerto Rico Only - effective 4/13/2013
- (326 KB) PDF
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