Humana Physician News-Q4 Edition

Effective Dec. 31, 2021, the Provider Payment Integrity (PPI) contact mailbox will be disabled.

To manage overpayments, please use the Availity Portal or call Customer Care at 800-438-7885, Monday – Friday, 8 a.m. – 8 p.m., Eastern time.

Looking for new ways to reach and engage your patients?

Humana has developed the Provider Marketing Resource Center (PMRC) so you can engage, retain and grow your practice’s patient panel, regardless of their current insurance carrier.

Contact [email protected] for access to their library of customizable patient marketing materials. 

UHC Policy Updates November 2021

 Community Plan

 Reimbursement Policy Update Bulletin: November 2021

 Medicare Advantage

 Reimbursement Policy Update Bulletin: November 2021

 Commercial

 Medical Policy Update Bulletin: November 2021

 Community Plan

 Medical Policy Update Bulletin: November 2021

 Medicare Advantage

 Coverage Summary Update Bulletin: November 2021

UHC Link Down   at this time

 Medicare Advantage

 Policy Guideline Update Bulletin: November 2021

UHC Link Down   at this time

UHC November Policy Updates

Cigna Network News

Humana Covid-19 Administrative Update 9/1/2021

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Humana’s Covid-19 Response

An important message regarding
Humana’s COVID-19 response:
ADMINISTRATIVE UPDATE Sept. 1, 2021

Humana is suspending authorization requirements for skilled nursing facilities (SNFs) and

long-term acute care (LTAC) for Medicare Advantage and commercial members discharging

from hospitals in the state of Texas through Oct. 1, 2021.

Important details:

  •  Authorization suspension, as outlined herein, will continue through Oct. 1, 2021.
  • This suspension applies to participating/in-network providers only.
  • Please provide notification of admission within 24 hours to allow us to track our members’ progress. You will receive
    an approval when you submit the notification.
  • No other services requiring prior authorization are included in this suspension.

Network News Brief, UHC

Aetna OfficeLink Update 6/1/2021

Aetna OfficeLink Updates 6/1/2021

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Cigna MA 2nd Qtr News 5/11/2021

Feature Article: Engaging with Patients Virtually, Cigna’s Virtual Care Reimbursement Policy

Policy Updates:

  • Preventive Care Services
  • Precertification
  • Clinical, Reimbursement, and Administrative

General News

  • Claim Denial preventive tips
  • Appeal Reminders
  • and many more to numerous to add

Webinar Schedule for Digital Solutions:

TopicDateTime (CT)LengthMeeting #
Eligibility and Benefits /Cigna Cost of Care EstimatorWednesday, May 12, 202112:0060 min179 626 8334
EFT Enrollment, Online Remittance, and Claim Status InquiryMonday, May 17, 202111:0060 min179 602 5133
Online Appeal and Claim ReconsiderationWednesday, May 19, 20211:0060 min179 487 2665

Website Access Manager Training

Wednesday, May 26, 2021
11:0060 min179 079 6479
CignaforHCP.com Overview
Tuesday, June 1, 2021
1:3090 mins179 702 7790
Eligibility and Benefits /Cigna Cost of Care Estimator
Wednesday, June 9, 202111:0060 min179 319 4586
EFT Enrollment, Online Remittance, and Claim Status InquiryWednesday, June 16, 202111:0060 min179 225 1773
Online Appeal and Claim Reconsideration
Monday, June 21, 202111:0060 min179 162 7760
Website Access Manager TrainingMonday, June 28, 202111:0060 min179 940 8512
View the entire Newsletter

Cigna MA, Updates for Providers