Insurance Updates
Anthem
Resources for Anthem
Here are a few resources for Anthem including the Alpha-prefix list for out of state plans and the Anthem provider rep map. We will update the provider rep map as it is sent to us. Resources Alpha prefix list for Ohio - click here Alpha prefix list for Indiana - click...
Recoupment Request for No Prior Authorization
The KAC is aware that providers have been receiving recoupment requests for lack of prior authorization. In late 2019/early 2020, the KAC was successful in stopping Anthem from requiring prior authorization for chiropractors through AIM in Kentucky. Providers should...
Humana
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WellCare
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Passport
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Humana Medicaid
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Aetna Better Health
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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
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