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
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...
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...
WellCare
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Passport
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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: These fees have been updated as of 4/1/2026. See updated article here. Question: What is the 2026 Medicare Fee Schedule Answer: While this isn't a traditional table talk question - it fits the category! Overall, there is a small increase (0.32%-1.68%) in the...
Miscellaneous
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