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
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...
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...
WellCare
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Passport
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Humana Medicaid
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Aetna Better Health
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Medicare
Updated Medicare Fee Schedule – 4/1/2026
2026 - Effective 04/01/2026 - Kentucky Part B Physician Fee Schedule NOTE: The 2026 Medicare Fee Schedule has been updated as of 4/1/2026. To see the previous fee schedule, click here. Results matching 98940: # – These amounts apply when service is performed in a...
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...
Miscellaneous
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