by KAC Staff | Dec 20, 2019 | Humana
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...
by KAC Staff | Oct 9, 2019 | Humana
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...
by KAC Staff | Oct 9, 2019 | Passport
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...
by KAC Staff | Aug 15, 2019 | Humana
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...
by KAC Staff | Aug 15, 2019 | Aetna Better Health
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...
