Humana - January 2023 Claims Process Update, Provider Education, and Credentialing Policy Change

January 9, 2023

Attached are the following updates and provider educational opportunity, please share with your team and providers.

  • Humana Claim Resolution Guideline Update

  • Risk Adjustment & Stars Webinar  The Humana risk adjustment and Stars provider education teams are pleased to offer the following live, online learning sessions in 2023. Please note that some presentations offer a free continuing education credit for registered participants: continuing medical education (CME) for licensed clinicians and/or continuing education unit (CEU) for certified medical coders.

  • Credentialing Policy Change There are two pages on with the policies and we have now updated for both Facilities & Organizations and CAQH.