Humana Pharmacy Solutions Pharmacy Manual GHHJP34EN 0118 3250ALL1117. Medicare program payer sheets for the required fields to submit prescription claims electronically to Humana. In your pharmacy provider agreement, youll find network participation requirements. Our alliance is a strategic solution that merges the knowledge and experience of Humana CareSource 2017 Health Partner Manual Humana CareSource makes a difference Humana CareSource brings a history of innovative programs and collaborations to Secure Access your account through the Humana CareSource secure Provider This guide is provided to explain Humana Pharmacy Solutions (HPS) audit program and to enable network pharmacies to respond appropriately to an HPSinitiated audit of pharmacy claims.
Humana group vision plans are offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Health Benefit Plan of Louisiana, Humana Insurance Company of Kentucky, Humana Insurance Company of New York, CompBenefits Insurance Company, CompBenefits Company, or The Dental Concern, Inc. Humana has posted a revised version of its Provider Manual. The updated version of Humana's Provider Manual is effective on October 21, 2013.
Humana Pharmacy Solutions (Humana) values the services offered to Humana members by our network other requirements as outlined in the Pharmacy Provider Manual and Pharmacy Provider Agreement. Upon review of all documentation, an initial audit result letter will be sent to the pharmacy. Humana appreciates your participation in our pharmacy network and your role in delivering quality pharmacy services to our members. This manual is intended to assist your pharmacy staff in processing prescription claims Humana Pharmacy Solution s audit disc repancy code list.
3188ALL1017 GCHJG6MEN 0316 Humana will correct the pharmacy service type and assess an administrative fee. Administrative fee Corrected values form. REF (Fill number) The refill number submitted for the claim differs from Pharmacy forms and pharmacy manuals available for download. When you need this kind of information Humana has it here for your convenience.
Pharmacy provider manual Download the full manual English (2. 08 MB). Humana Pharmacy Solutions audit discrepancy code list This list explains discrepancy codes used in pharmacy audit reports. Humana is committed to providing efficient, highquality pharmacy services for you and your patients. From prior authorizations to access to a wide range of network pharmacies including mailorder pharmacies our goal is to make sure the right medications Humana group vision plans are offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Health Benefit Plan of Louisiana, Humana Insurance Company of Kentucky, Humana Insurance Company of New York, CompBenefits Insurance Company, CompBenefits Company, or The Dental Concern, Inc.
Introduction Humana Pharmacy Solutions (Humana) values the services offered to Humana members by our network of pharmacy providers. This Humana Audit Guide is