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
NOTICE: WholeHealth Living Authorization Submissions Moving to Availity on April 1
We want to make sure you are aware of an upcoming change from WholeHealth Living that takes effect on April 1, 2026, just around the corner. Beginning April 1, all authorization requests for WholeHealth Living must be submitted through the WholeHealth Living Payer...
Humana and Anthem Chiropractic Issues Update
Humana Medicare Advantage We have begun to see Humana Medicare Advantage claims processing with payments issued toward the end of December. This is a positive development. We are continuing to actively monitor claims activity to ensure consistency and to identify any...
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
Humana Medicare Advantage: New Paper Claim Administrative Fee Effective July 1, 2026
Humana has announced that effective July 1, 2026, a $5.00 administrative fee will be assessed on each paper claim submitted on a CMS-1500 or UB-04 form for Medicare Advantage plans. This fee applies when the reimbursement amount for the claim is equal to or greater...
Table Talk: New ABN Released | Transition Required by May 12, 2026
Question I thought the new ABN was released? Can you confirm? Answer Yes! As of March 13, 2026 - the new ABN is now released. We've made it easy for KAC members to download the new ABN. Medicare has released an updated version of the Advance Beneficiary Notice of...
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...