Coding issues can slow down claims processing. Physicians and clinicians can help avoid unnecessary delays by using Humana’s updated code edit simulator app to quickly identify potential code edits before submitting a claim.
Physicians and clinicians also can use the simulator to gain insight into coding issues that may have prevented a submitted claim from processing as expected.
The new app was added to the Availity provider engagement portal as part of Humana’s initiative to phase out the Humana.com secure provider portal. Although the older version of the simulator is still accessible through Humana’s secure portal, using the Availity portal is recommended for access to the latest version of this and other tools. For more information on the portal transition, visit Humana.com/providerselfservice.
To use the code edit simulator, physicians and clinicians should:
The app will immediately display code edits that Humana may apply if the claim is submitted.