Humana Administrative and Telehealth Update
SUMMARY: Please visit humana.com/coronavirus for an important COVID-19 update from Humana to our Primoris Network Member Providers.
Here is a quick summary of the communication update:
- Administrative Update for Providers – Authorizations and Referrals: announcing that Humana is reinstating our usual authorization and referral requirements for Non-COVID related diagnoses.
- Telehealth Updated FAQs: Five new FAQs pertaining to services coverable using video, hospital modifier details for billing, virtual visit time calculation, telephone E/M CPT code details, and RHCs and FQHCs furnishing and billing for telehealth. Some of the existing answers have been updated as well.
- Stars COVID Impact Fact Sheet: Summary of changes to quality improvement and data collection activities for measurement years 2019 and 2020 that impact Star Ratings for plan years 2021 and 2022.
- Administrative Update for Providers: announcing that Humana will resume medical record requests for claims reviews, effective May 15, 2020.
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Primoris Credentialing Network is a NCQA Credentialing Accredited specializing in credentialing and provider enrollment with 54+ health plan and network provider enrollment options. Primoris is a family member of Fifth Avenue Healthcare Services. Sister companies include 5ACVO (credentialing and primary source verification specialists) and Fifth Avenue Agency (MPLI and medical malpractice specialists).
For more information on Primoris Credentialing Network, please visit PrimorisCredentialingNetwork.com or Contact Us.
