04/23/2025

Humana

Humana's Q1 2025 Newsletter
The full update can be found HERE. Below are a few articles that may be relevant to you:

• New rule improves prior authorization process
• Reduce your patients out of pocket expenses with participating DME providers
• Artificial intelligence adoption in the value based era
• NEW! Go365 provider toolkit puts patient well being front and center

Q2 TRICARE Reimbursement Implementation Update
Humana Military is actively processing claims while we are implementing the following quarterly reimbursement updates. During this process, claims status will be temporarily set to pending, and claims payments will resume once the implementation is complete.

• Outpatient Prospective Payment System (OPPS)
• Ambulatory Surgery Center (ASC)
• Applied Behavior Amounts (ABA)
• Durable Medical Equipment, Prosthetics, Orthotics, and Supplies/Parenteral, Enteral Nutrition (DMEPOS/PEN)

Coming Soon: Enhanced Security for Your Self-Service Account
Humana Military's provider self-service is moving to a more secure login. Users will soon notice an extra step to verify your identity, in addition to your password. This enhanced security feature adds another layer of protection, making it harder for unauthorized users to access accounts.

It will require each self-service user to have a unique email address with every user ID. Users who need to take action will receive an email with directions on what to do. If you receive this email, please follow the instructions to update your email address.