Humana Continues Code Editing Software Updates in 2019

As part of its ongoing efforts toward claims process improvements, Humana will continue to update its claims payment systems to better align with correct-coding initiatives, Centers for Medicare & Medicaid Services (CMS) guidelines, national benchmarks and industry standards. Humana posts notifications about upcoming updates the first Friday of every month. Each item notified includes an implementation date for that update.

California physicians and healthcare providers: These updates do 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.