What's new

What's New

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

Member approval notification process changes

Humana is changing its policy regarding enrollee notification for standard organization determinations due to recent clarification from the Centers for Medicare & Medicaid Services (CMS).

Humana launches “Living with Diabetes” experience for qualifying members

An extension of Humana’s My Diabetes Path® program makes it easy for members to actively engage in their treatment.

Dental member ID cards go digital

Look for digital ID cards from HumanaDental commercial group 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.

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

Humana members’ ID cards will soon be available digitally.

New Professional and Facility Claim Code Edits for 2015

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

The Centers for Medicare & Medicaid Services (CMS) mandates 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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