HumanaVitality Procedure for claims after 12/31/2014

HumanaVitality

Procedure for claims after 12/31/2014

Before entering Supplemental encounter

• Patient Registration DOES NOT have to be completed for Humana Vitality claim with service dates after 12/31/2014.

• For Humana Vitality claims prior to 1/1/2015, you will need to complete Patient Registration.

Supplemental info will be saved

Humana Vitality screen will be returned

New field has been added

NEW Humana Vitality # field

• For claims prior to 1/1/2015, this field must be left blank or the user will receive an error.

• For claims after 12/31/2014, this field is required and the user will not be able to transmit the screen if left blank.

• This is a numeric field, no alpha or special characters.

• All nine digits must be entered.

PEVN 30 <HLS> <FRST> <LAST>

PEVI 30 <HLS> <Patient ID>

Report 2657

• This report runs the 1st Sunday of the month.

• Review report and make sure all Humana Vitality visits have been entered and Humana Insurance information has been captured.

• If you have Humana Vitality visits missing from the report, make sure you get those entered. These visits will be sent the next month.

Make sure the report shows a Member number and birthdate for each patient.

For claims prior to 1/1/2015, If a patient is missing their member number or birthdate

• Pull the patient up on portal and add in the information that is missing.

• Next, pull up the Humana Vitality screen and re-transmit.

• To call up the Humana Vitality screen– PEVI <client><clinic><patient id>– PEVI 30 500500 748159263