What's new

What's New

Read key updates for health care providers and their staff members.

Invalid rejections of institutional claims

Some providers receiving claim rejections in error

Sign Up with Availity to Make Working with Humana Online Easier than Ever

Health care providers may soon receive information from Humana regarding a transition to the Availity Web Portal.

Humana Closing ICD-10 Mailbox

Other options still available for ICD-10 questions.

Learn More about Changes to Claims Processing for Unauthorized Hospital Inpatient Services

Claims with both unauthorized hospital inpatient services and urgent/emergent services for a Humana-covered Medicare Advantage member may be affected by this process.

Note important information about Current Procedural Terminology® (CPT) modifier 90

Humana is implementing code editing that affects CPT modifier 90.

APTC Grace Period and Premium Payment Details Now Easier to Find

Humana offers several ways for health care providers to check a HumanaOne® member’s eligibility and premium payment status.

Care Decision Insights: Using Cost and Evidence-based Metrics to Drive Improvement in Medicare Advantage

Learn about a new opportunity to visit with your Humana consultant about specialty care, cost and outcomes resources from claims-based data.

Compliance Requirements for Health Care Providers

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

Addressing fraud, waste and abuse

Addressing fraud, waste and abuse

Learn how to detect and prevent fraud, waste and abuse with free training materials, tools and resources from Humana.

Learn more about Humana’s commitment

Humana’s YourPractice

This bimonthly publication provides updates that make it easier for you to do business with Humana.

View the current issue.