humanavitality procedure for claims after 12/31/2014
TRANSCRIPT
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