Insurance Updates
Anthem
Anthem Update: Electronic payments starting in mid-October 2025
Update 11.28.2025: Following the announcement in October’s Connection regarding Anthem’s transition of providers to EFT, we have heard from several chiropractors who have identified missing or delayed payments when receiving payments via virtual credit cards. To...
Anthem Medicaid contract expiring after December 31, 2024
Effective January 1, 2025, Anthem will no longer participate in Kentucky’s Medicaid Managed Care Program. Anthem will continue to be responsible for proper and timely adjudication of all claims for services rendered to its enrollees until 11:59 p.m. on December 31,...
Humana
January 25, 2022 – Insurance Update for Chiropractors
The KAC leadership continues to work hard on your behalf. Many of these updates were given in-person at our 2022 LB Payne Insurance Update. We wanted to send a follow up email reminding KAC members of these changes.Remember, if you are experiencing any issues, please...
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...
WellCare
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Passport
Passport 10-7
We continue to work on denials from Passport when billing both a spinal adjustment and an extremity adjustment. We have been told by Passport provider reps this edit has been identified and fixed. However, providers are still seeing these denials. All affected...
Molina Healthcare of KY
Governor Andy Beshear has announced effective January 1, 2021 two new MCOs will be assuming Medicaid claims processing in Kentucky. One of those companies is Molina of KY. It is always your decision to credential with any insurance company. The KAC just wanted to...
Humana Medicaid
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Aetna Better Health
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Medicare
KAC Member Insurance Alert: Humana Medicare Advantage Claim Denials
The Kentucky Association of Chiropractors has been made aware of a developing issue involving Humana Medicare Advantage plans. It has come to our attention that certain Humana Medicare Advantage replacement plans are denying chiropractic claims based on...
2026 Medicare Fee Schedule for Chiropractors
NOTE: We will be keeping a watchful eye on the Medicare fee schedule. There is a chance this will change at the end of the year or in early January. Please keep an eye out for any changes. If you are seeing a different fee schedule, please let us know. We do not...
Miscellaneous
Update Your License
Your Chiropractic license renewal deadline was March 1st, 2020. If you have not already renewed your license you can do that through the new online application by clicking here, but your renewal will be subject to a $300 fine due to missing the March 1st...
HIPPA & Microsoft Windows
Microsoft has announced that they will be ending their extended support of Windows 7 operating systems on January 14th, 2020. After this date, Microsoft will no longer release updates and important security patches for Windows 7 operating systems. This means that the...