What's new

What's New

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

National Drug Codes (NDCs) required on claims

All Healthcare Common Procedure Coding System (HCPCS) drug codes must be submitted with the corresponding valid national drug code (NDC) on claims for all lines of business.

NDC requirement

Refer to CMS Guidelines for UDT and Therapeutic Drug Assay Coding

Physicians need to follow the Centers for Medicare & Medicaid Services (CMS) billing guidelines and to submit CMS’s Healthcare Common Procedure Coding System (HCPCS®) codes for urine drug testing (UDT) and therapeutic drug assays (also known as confirmation tests) when billing for Humana Medicare Advantage (MA) and commercial members.

Drug screening

RightSource set to become "Humana Pharmacy"

RightSource, Humana’s prescription mail-order pharmacy service, soon will be called “Humana Pharmacy.”

Humana Pharmacy

Find Paid-through dates on Humana.com

Look-up of the paid-through date for both on- or off-exchange marketplace members is now available via the secure provider Web portal on Humana.com.

Paid-through date

Digital member ID cards coming soon

Humana members’ ID cards will soon be available digitally.

Digital ID cards

Generic Nexium not covered on Humana Medicare Part D plans

Get details on a notice affecting Medicare formularies

Nexium information

New options for electronic claims payment

Find out how collaborations with CAQH and J.P. Morgan Chase have created new payment choices for physicians, facilities and other health care providers.

Learn more

Humana Platform for Testing ICD-10 Readiness Available

Learn more about how practitioners can work with Humana to assess their ICD-10 readiness.

ICD-10 testing

Medicare members' EOBs include encounter information

Humana's Medicare Part C explanations of benefits (EOBs) now include information about all claims, including encounters and claims processed by delegates.

Part C EOBs

Humana to require prior authorization for Diovan in April

Get details on a change affecting Medicare formularies.

Diovan information

New Professional and Facility Claim Code Edits for 2015

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

Code-edit Update Schedule

Compliance Requirements for Health Care Providers and CMS Mandates Humana-contracted entities to complete compliance requirements

Medicare compliance requirements

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

Compliance Requirements for Healthcare Providers
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.

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