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HumanaVitality Procedure for claims after 12/31/2014

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Humana Vitality. Starts February 1, 2012. Registration Process. No Changes to the current screens Humana Insurance company selected on third party page or Patient registration Humana Vitality member number entered into Subscriber field from Humana insurance card - PowerPoint PPT Presentation

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Page 1: Humana Vitality

HumanaVitality

Procedure for claims after 12/31/2014

Page 2: Humana Vitality

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.

Page 3: Humana Vitality
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Page 7: Humana Vitality

Supplemental info will be saved

Page 8: Humana Vitality

Humana Vitality screen will be returned

Page 9: Humana Vitality

New field has been added

Page 10: Humana Vitality

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.

Page 11: Humana Vitality

PEVN 30 <HLS> <FRST> <LAST>

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PEVI 30 <HLS> <Patient ID>

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Page 15: Humana Vitality

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.

Page 16: Humana Vitality

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

Page 17: Humana Vitality

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