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March Humana News: Code Edit Simulations Can Speed Up Processing and Payments

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03/01/2020
Coding issues can slow down claims processing, resulting in delayed payments.

Avoid unnecessary delays by using Humana’s updated Code Edit Simulator, available on the Availity Portal, to identify code edits that may be applied to a claim.

When you enter basic claim information in the Code Edit Simulator app, you’ll get instant results showing potential code edits that Humana may apply. This feedback may allow you to address issues that otherwise would cause the claim to pend or go unpaid.

The Code Edit Simulator can help you:

  • Avoid unnecessary payment delays by identifying potential issues before billing a claim to Humana
  • Improve the accuracy, validity and integrity of claims code data you submit for payment consideration
  • Determine if a certain CPT or HCPCS code matches the diagnosis code(s) you’ll be submitting
  • Gain insight into why a claim was not processed as expected

The Code Edit Simulator is available to registered users of the Availity Portal. Registration is free. Your organization’s designated Availity administrator can set up your access to the Code Edit Simulator app.

For more information about tools for working with Humana online, visit Humana.com/ProviderSelfService.