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.
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.
RightSource set to become "Humana Pharmacy"
RightSource, Humana’s prescription mail-order pharmacy service, soon will be called “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.
Digital member ID cards coming soon
Digital ID cards
Humana members’ ID cards will soon be available digitally.
Generic Nexium not covered on Humana Medicare Part D plans
Get details on a notice affecting Medicare formularies
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.
Humana Platform for Testing ICD-10 Readiness Available
Learn more about how practitioners can work with Humana to assess their ICD-10 readiness.
Medicare members' EOBs include encounter information
Part C EOBs
Humana's Medicare Part C explanations of benefits (EOBs) now include information about all claims, including encounters and claims processed by delegates.
Humana to require prior authorization for Diovan in April
Get details on a change affecting Medicare formularies.
New Professional and Facility Claim Code Edits for 2015
Code-edit Update Schedule
Find out more about updates to Humana’s professional and facility claims payment systems.
Compliance Requirements for Health Care Providers and CMS Mandates Humana-contracted entities to complete compliance requirements
Medicare compliance requirements
Compliance Requirements for Healthcare Providers
The Centers for Medicare & Medicaid Services (CMS) mandates that all Humana-contracted entities, including those contracted with Humana subsidiaries, complete compliance requirements.