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
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
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Humana Medicaid
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Aetna Better Health
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Medicare
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...
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...
Miscellaneous
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