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 Humana.com with the policies and we have now updated for both Facilities & Organizations and CAQH.  

https://www.humana.com/provider/medical-resources/join-humana-network/credentialing-facilities-and-organizations

https://www.humana.com/provider/medical-resources/join-humana-network/credentialing-caqh