Insurance Updates
Anthem
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...
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...
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
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Passport
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...
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...
Humana Medicaid
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Aetna Better Health
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Medicare
2026 Medicare Information for Chiropractors
Medicare has announced the 2026 Part B cost updates, with the monthly premium increasing to $202.90 and the annual deductible rising to $283. These changes may affect patient cost sharing early in the year, particularly for covered chiropractic adjustments, since...
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...
Miscellaneous
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