What's new

What's New

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

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

Humana is implementing code editing that affects CPT modifier 90.


Humana Pharmacy Receives J.D. Power “Highest” Ranking

The 2015 J.D. Power U.S. Pharmacy Study named Humana Pharmacy the top U.S. mail-order pharmacy in customer satisfaction.


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 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.


Generic Renvela not covered on Humana formularies

Get details on notice affecting formularies.

Updated Preauthorization and Notification Lists for 2016 Available

On Jan. 18, 2016, Humana will update preauthorization and notification lists for all commercial fully insured plans, Medicaid plans and Medicare Advantage (MA) and dual Medicare-Medicaid plans.

2016 Professional and Facility Claim Code Edit and Policy Updates Announced

When changes to the claim payment system may adversely impact how a health care provider is reimbursed for the services that he or she provides to Humana members, Humana provides advance notice at least 90 days prior to implementation.

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.

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