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

 Passport is now requiring “Always therapy codes” to be billed with the GP modifier.  This was presented in the ENews here http://passporthealthplan.com/wp-content/uploads/2019/07/Therapy-Modifiers.pdf .  Providers will need to...

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...

Children Under 3

  The Insurance Relations Committee recently met with ABH representatives regarding several issues our members have brought to the KAC.  At this time, ABH continues to deny claims for children under three years of age.  We discussed the...

Preauthorization

 The KAC Insurance Relations Committee has some exciting news for your practice. Passport Health Plan has announced in its most recent ENews that Effective August 1st, 2019 Passport will no longer require preauthorization for treatment in your office. Over the...