96/97 Modifier

The KAC is working on issues providers are having with Humana Commercial plans.  One area we have had consistent complaints with is the 96/97 modifiers.  Humana has informed us that these modifiers are only necessary when it is...

Prior Authorization

    Humana has reinstated the prior authorization requirement on the first date of service.  This went into effect starting October 1, 2019.  Please remember to obtain authorization at the start of care and not after the eighth...

Modifiers

Providers have been experiencing several issues regarding claims processing with Humana Commercial insurance plans.  Most of these are due to modifiers not being attached.  They have recently stated they follow Medicare guidelines and therefore you...