Humana Claims Payment Policies

Humana Claims Payment Policies

Effective July 1, 2026, Humana will charge a $5.00 administrative fee for Medicare Advantage paper claim submissions.  

The fee will apply only when the reimbursement amount for the claim is $10.00 or more. This policy is being implemented as part of Humana’s effort to reduce administrative costs and eliminate the risk of lost mail. Humana previously implemented a $5.00 per envelope charge for paper checks when the amount is $5.00 or more.

 More information on Humana’s claim payment policies can be found on their website.

- Sarah Stewart, Vice President, RCS

Medicare Claims for Duplicate Laboratory Services Continue to Be Denied

Medicare Claims for Duplicate Laboratory Services Continue to Be Denied

The Centers for Medicare & Medicaid Services (CMS) says it will continue to deny claims for duplicate laboratory services unless the tests are deemed...

Read More
CAP Submits Comments on Proposed 2027 Medicare Physician Fee Schedule

CAP Submits Comments on Proposed 2027 Medicare Physician Fee Schedule

The College of American Pathologists (CAP) submitted comments to the proposed 2027 Medicare Physician Fee Schedule (PFS), addressing proposals that...

Read More
CMS Announces Phased-In Reduction of Medicare Payment Rates for Lab Services

CMS Announces Phased-In Reduction of Medicare Payment Rates for Lab Services

The Centers for Medicare & Medicaid Services (CMS) plans to reduce preliminary Medicare payment rates for laboratory services.

Read More