For detailed information about Humana’s claim payment inquiry process, review the claim payment inquiry process guide (300 KB).
The following links are intended to facilitate documentation and coding diagnoses and services that are provided to patients with Humana coverage:*
Atrial fibrillation coding guidelines
Cardiomyopathy coding guidelines
Cerebrovascular accident (CVA) coding guidelines
Chronic kidney disease (CKD) coding guidelines
Deep vein thrombosis (DVT) coding guidelines
Diabetes mellitus coding guidelines
Diseases of the respiratory system coding guidelines
Heart failure coding guidelines
Major depression/major depressive disorder coding guidelines
Mental health disorder coding guidelines
Mental health disorder (Dementia addendum) coding guidelines
Myocardial infarction coding guidelines
Neoplasms coding guidelines
Neoplasms (breast cancer addendum) coding guidelines
Neoplasms (prostate cancer addendum) coding guidelines
Obesity/body mass index (BMI) coding guidelines
Peripheral vascular disease (PVD) coding guidelines
Pressure injury coding guidelines
Rheumatoid arthritis (adult) coding guidelines
Seizures/seizure disorder/epilepsy coding guidelines
Sick sinus syndrome (SSS) coding guidelines
Substance use disorder coding guidelines
Vertebral fractures coding guidelines