Risk Adjustment 2024 Monthly Learning Series hosted by Humana
Keep Up-To-Date on Risk Adjustment and Coding Guidelines Humana’s Risk Adjustment Provider Education team is offering live, online learning sessions for the first six months
Provider Resources
Overview of Referrals and Prior Authorizations
Specialist Referral Process
Referral Process Tool
HCP Preferred Specialists and Centers of Excellence
Prior Authorization Process
Prior Authorization Process Tool
Submit a Prior Authorization Request
Prior Authorization – Hospital & Facility-Based Services
Prior Authorization – Preventive Care Services
Prior Authorization – Radiology Services
Prior Authorization – Injectable Medications
Prior Authorization – Lab and Pathology Services
Prior Authorization – Physical and Occupational Therapy
View an Existing Prior Authorization Request
Peer-to-Peer
Appeals Process
Claims Submission for EmblemHealth Patients
Claims Submission for Anthem Medicare Advantage Patients
Claims Submission for All Other HCP Patients
Track HCP Claims with EZ-Net
Access Clinical Support Services
Case Management
Real Time Resolution™ Center
Pharmacy Support Services
Home Infusion
Knee Arthritis and Apos®
Home-Based Medical Assessments
Social Work and Behavioral Health
Community Resources
Social Determinants of Health
Hospice and Palliative Care
Starting the Hospice Conversation
Update Your Practice Demographic Information
Re-credentialing Guide
Appointment Availability Standards
Sign up for Electronic Funds Transfer
HCP Compliance Program
Group Medical Malpractice Insurance
Healthix Connectivity Program
Group Medical and Office Supplies Discounts
Contact your Provider Relations Specialist
Contact Customer Service
EZ-Net Training
Identifying HCP Direct Patients
