As part of an ongoing effort to improve claims processing, Humana will continue to update its code editing software to align with CMS guidelines, national benchmarks and industry standards. The updates will occur throughout the year, and updates will be posted the first Friday of every month.
If you are a physician or health care provider in California, the updates will not affect any contractual obligation with a contracted independent practice association (IPA). The updates pertain only to participation with Humana’s ChoiceCare Network contract.
To view these changes and find additional information about claim policy updates and submitting code-editing questions, visit Humana.com/edits.