Humana Support 10/1/2020
Information from Humana “September 2020 Provider Communication”
Did you know that we have Electronic Funds Transfer, or EFT, available for provider payments? EFT eliminates the need for paper checks. Payments will occur automatically, saving time, reducing mail, and giving you peace of mind. For information on how EFT works or to set up your account on EFT, please send an email to [email protected].
A schedule of upcoming web-based training sessions is also available in the BBS Documentation folder (under Simple Resources and tools>Training Opportunities). Sessions are created from the provider’s perspective and intended to meet the needs of new users as well as those in a more established organization.
Documentation and resource materials are available in the Service Fund Download section of Availity.com. For those with direct FTP access, this information is contained within each unique folder. Materials are located in the following sections under “Documentation”:
- Data File Layouts – Both current and updated layouts are included. Highlighted text indicates either a new or revised field.
- Humana Notices to Providers – A copy of this letter is available.
- Simple Resources and tools
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- Training Opportunities – 2020 webinars
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For questions regarding Service Fund or Service Fund processes, or to request Service Fund training, please send an email to [email protected]. Be sure to include identifiable information such as your provider or organization name, address, Humana ID number, etc.
Humana PPO (POET) Plan Breakout
Humana PPO Plans have National Network Reciprocity, allowing members to travel with the comfort of knowing they can use any Humana ChoiceCare PPO Network Provider across the county for in-network services.
Cigna HealthSpring and CIOX Health
CIOX is here to help with the medical record retrieval and to work with the provider offices. Some options for the provider, depending on their specific needs/protocols are:
- For the staff to collect and submit the medical records
- To have CIOX come in to the clinic to collect the medical records in a designated work space and computer/laptop
- To set up remote EHR access for the CIOX representative to remote in to collect medical records
AND MEDICAL RECORD RETRIEVAL HELPS WITH RISK SCORES.
Provider Roster Updated 09/15/2020
Roster was updated to reflect UHC All Products effective 9/15/2020. Click to review.
Aetna OfficeLink Updates, Published 9/1/2020
- Changes to the National Pre-Certification List
- Third Party Claim and Code Review Program
- And many interesting topics
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