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Code Edit Simulations

Coding issues can slow down claims processing, resulting in delayed payments. Avoid unnecessary delays by using Humana’s updated Code Edit Simulator to simulate potential code edits before submitting a claim.

When you enter claim information in the simulator, it instantly displays potential code edits that Humana may apply. This feedback allows you to address issues that can delay the adjudication of your claim.

The Code Edit Simulator is an app on the Availity Web Portal. You must have a user ID and password for the portal and your site administrator must grant you access to the simulator.

To use the simulator on the Availity Web Portal:

  1. Log in to the Availity Web Portal at Availity.com (link opens in new window) and select “Payer Spaces,” then “Humana.”
  2. Under the Applications tab, select “Code Edit Simulator” to access the app. If you do not see the Code Edit Simulator, contact your Availity administrator to request access.

Download a flyer (link opens in new window) about the Code Edit Simulator

 

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