Insurance Updates
Anthem
Various Issues
As I am sure you are aware by now, Anthem has removed the requirement for prior authorization for physical medicine services performed in a chiropractic office. You can read their statement here. However, providers have had multiple other...
AIM
As you are hopefully aware, Anthem is planning on starting a new pre-authorization process for all therapy services, 97xxx codes, on March 1st. This process will require you to register with AIM for pre-certification of these services. The KAC has had the stance from...
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
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...
Your Voice Is Needed: Support the Chiropractic Medicare Coverage Modernization Act (H.R. 539 / S. 106) in the 119th Congress
Chiropractors currently face a limitation under Medicare—only spinal manipulation is reimbursed. This outdated restriction forces patients to pay out-of-pocket for essential components of care that you’re qualified to provide, such as exams, diagnostic imaging,...
Miscellaneous
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