Humana Medical Guidelines

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Clinical Practice Guidelines for Healthcare Providers

https://www.humana.com/provider/medical-resources/clinical/guidelines

Clinical practice guidelines are resources* for Humana participating physicians and other Humana-contracted healthcare professionals. Humana has adopted the following guidelines: Adult immunizations. Centers for Disease Control and Prevention (CDC) …

Clinical Resources for Healthcare Providers - Humana

https://www.humana.com/provider/medical-resources/clinical

Clinical support. Review Humana’s clinical and behavioral health guidelines, learn about health programs that may be available for your patients and access quality, effectiveness and efficiency resources. …

Claims Coding, Inquiry Process Guidelines - Humana

https://www.humana.com/provider/medical-resources/claims-payments/claims-coding

Humana guidelines and best practices. For detailed information about Humana’s claim payment inquiry process, review the claim payment inquiry process guide (300 KB). The …

2020 Clinical and Behavioral Health Guidelines - Humana

https://www.humana.com/provider/news/2020-clinical-behavioral-health-guidelines

In formulating its guidelines, Humana adopts guidance from national organizations generally accepted as experts in their field. The guidelines are updated and approved …

Humana Claims Payment Policies

https://www.humana.com/provider/medical-resources/claims-payments/claims-payment-policies

These policies are guidelines only and do not constitute a benefit determination, medical advice, guarantee of payment, plan preauthorization, an …

Authorizations and Referrals Information for Healthcare …

https://www.humana.com/provider/medical-resources/authorizations-referrals/

For information on how to submit a preauthorization for frequently requested services/procedures for your patients with Humana commercial or Medicare coverage, …

Humana Member Guidelines

https://support.humana.com/s/article/humana-member-guidelines

This article will earn you +5 tokens. Humana Member Guidelines. Know your rights and understand your plan and costs, including authorizations, exceptions, and appeals. …

October Medical Coverage Policy Updates - Humana

https://www.humana.com/provider/news/october-policy-updates

Genetic Testing for Diagnosis of Noncancer Indications. Genetic Testing for Disease Risk. Molecular Markers in Fine Needle Aspirates of Thyroid Nodules. Osteochondral and …

New Policies - Humana

https://docushare-web.apps.external.pioneer.humana.com/Marketing/docushare-app?file=4628923

Medical Coverage Policies . Medical coverage policies describe Humana’s evaluation and coverageof medical procedures, devices and laboratory tests. January 2023 Updates . …

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