What is changing
Why is Humana implementing this change
Disclaimer: Claim edits do not supersede the necessity to obtain preauthorization. Preauthorization requirements still apply. Modifiers should be used when appropriate to accurately represent the services rendered. Please note that this notification may not describe previously implemented rules that still apply; the intent is to give notice of an upcoming change.
If requested by the self-funded group, all code-editing rules posted on Humana.com/edits for fully insured commercial Humana members also may be applied to self-funded members.
Submit code edit questions online
Physicians and healthcare providers can submit specific questions about code editing on the multipayer Availity Provider Portal. Humana's Code Editing Questions tool is located under Claims, Research Procedure Code Edits.