Home Health Providers Not Contracted with Humana Medicare Must Use Form CMS 1450

Form CMS 1450, the UB-04, is used by institutional health care providers, including home health agencies, to bill Original Medicare. Likewise, Humana’s Medicare Advantage (MA) plans require health care providers without contracts to submit all home health services on Form CMS 1450 (or the electronic transaction equivalent). A Humana MA plan will deny home health services submitted on Form CMS 1500 (or the electronic transaction equivalent) by a health care provider not contracted with that plan as the form was improperly submitted. Humana will require the health care provider to resubmit charges for those services on Form CMS 1450 (or the electronic transaction equivalent).