Billing Beat

Updates Preauthorization and Notification Lists for 2017

January 27, 2017

On Jan. 23, 2017, Humana will update preauthorization and notification lists for all commercial fully insured plans, Medicare Advantage (MA) plans, dual Medicare-Medicaid plans and Illinois Integrated Care Plan (ICP). Preauthorization is not required for MA private fee-for-service (PFFS) plans; notification is requested for these plans, but not required, as this helps coordinate care for our members. Preauthorization for genetic/molecular testing is expanding to include HumanaOne (commercial individual) products.

Source: https://www.humana.com/provider/medical-providers/education/whats-new/2017-pal-updates

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