Tagged with Humana

Humana Updated Claim Payment Policies

Humana recently published new updates to its claim payment policy for pass-through billing as well as its policy for telehealth and telemedicine.

Humana Claim Processing Edits

Humana has released several claims processing edits, including updates to Outpatient Prospective Payment System (OPPS), Modifiers 96 and 97, HCPCS Drugs & Biologicals, and other policies.

Humana – Cardiology Code Edits

Humana released three Cardiology code edits that will be effective as of August 31, as well as significant revisions to certain medical coverage policies.

IL – Blue Cross Blue Shield Awaits State Review

For the first time since 1990, the Illinois Department of Insurance will conduct a broad market examination of Blue Cross and Blue Shield of Illinois to see how the insurer treats its customers in compliance with consumer protection regulations.

Humana and Tenet Agree on New Contract

Humana and Tenet have renewed a multiyear agreement to keep all of Tenet’s U.S. hospitals and outpatient centers in Humana’s coverage network.

Anthem Ends Cigna Merger Agreement

Anthem recently announced that it will stop pursuing Cigna. The insurer claims Cigna sabotaged the deal and states it will not pay the agreed-upon breakup fee of $1.8 billion.

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