New Professional and Facility Claim Code Edits Coming


Humana will be updating our claim payment systems to better align with correct-coding initiatives, Centers for Medicare & Medicaid Services (CMS) guidelines, national benchmarks and industry standards regarding professional and facility claims.

These changes will occur via a phased approach with implementations and Web postings on the following dates:

Implementation Dates
Dates Available to View on
January 18, 2014 October 18, 2013
April 5, 2014 January 3, 2014
June 21, 2014 March 21, 2014
September 13, 2014 June 13, 2014
November 8, 2014 August 8, 2014

A detailed list of the changes is available on the provider section of 90 days prior to the implementation date, as indicated in the above grid. To review these changes, visit