Online Information Makes It Easier to Do Business with Humana

Humana's "Education on Demand" tool offers physicians, other practitioners and their office staff quick, easy-to-understand information on topics that help simplify doing business with Humana.

This tool can be accessed at

Available topics are as follows:

  • Clinical Quality and Outcomes
  • Commercial Risk Adjustment
  • Commercial Risk Adjustment Model
  • ConsultTM Online (no audio available)
  • HumanaAccessSM Visa Card
  • Humana Member Summary
  • Humana Overview
  • Making It Easier for Health Care Providers
  • Special Needs Plans (SNPs)
  • Texas Deficiency Tool

Humana’s claims education page includes presentations that can help health care professionals better understand Humana’s claims policies and processes. The presentations can be accessed at

The page, which will be updated with new content each month, has brief education-on-demand presentations that include a printable tip sheet with the most important information about each topic. Current topics include:

  • Anatomical Modifiers
  • Application of Medicare NCD/LCD Guideline
  • Chronic Care Management Services
  • Drug Testing and Codes
  • Humana’s Approach to Code Editing
  • Humana’s Maximum Unit Values
  • Medicare Preventive Services
  • Modifier 24
  • Modifier 25
  • Modifiers 59 and X {EPSU}
  • Multiple Evaluation and Management (E/M) Services
  • Primary Diagnosis Codes – Common Errors
  • Procedure-to-Procedure Code Editing
  • Professional Component and Technical Component (PC/TC)