New Professional and Facility Claim Code Edits Coming

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 6/22/2013
(299 KB) PDF
Download PDF
Physician/Health Care Providers Puerto Rico Only - effective 6/22/2013
(266.96 KB) PDF
Download PDF
Inpatient/Outpatient Facilities All Markets (Excluding Puerto Rico) - effective 6/22/2013
(361 KB) PDF
Download PDF
Inpatient/Outpatient Facilities Puerto Rico Only - effective 6/22/2013
(347.49 KB) PDF
Download PDF