Insurance Updates
Anthem
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,...
Important reminder: The correct original claim number must be included if submitting a corrected claim
Anthem March 12, 2024 - Anthem Provider Communications When we receive a corrected claim and it doesn’t have the original claim number, or the original claim number is not correctly entered, we are not able to process it because we’re not able to connect it to the...
Humana
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...
WellCare
No Results Found
The page you requested could not be found. Try refining your search, or use the navigation above to locate the post.
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
No Results Found
The page you requested could not be found. Try refining your search, or use the navigation above to locate the post.
Aetna Better Health
No Results Found
The page you requested could not be found. Try refining your search, or use the navigation above to locate the post.
Medicare
CMS Reverses Course on Medicare Claims Hold
CMS has issued an updated clarification regarding Medicare claims processing in light of the continuing federal government shutdown and the expiration of key legislative payment provisions. Chiropractors and their teams should be aware of the latest details to guide...
KAC Member Update: Medicare Claim Holds Effective October 1, 2025
NOTE: This post has been updated and CMS has reversed their notice issued October 15th. See updated post here. According to a CMS announcement on October 15, Medicare payments for many services, including those billed by chiropractors, are temporarily delayed while...
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...