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HUMANA TIMELY FILING UPDATE
HUMANA TIMELY FILING PASSWORD

Do not include the “ZNP” on the member id.

When submitting claims, follow the below:.

Verify eligibility and coverage for Premera at.

Always check the back of the card at every office visit.

Helpful tips to ensure you submitting claims properly for your PSW/Premera MA Members: If you have additional questions regarding your payment options, please contact ECHO Health at 44.Ī blank form from ECHO for all PSW health plans can be located by clicking here.

HUMANA TIMELY FILING UPDATE

If providers have questions about the processing of claims after reviewing, the PSW claims department can assist with additional questions. Provider Documents and Forms Announcements Update on Humana Home Health Network Services Provider Manual Authorization of Services Claims Payment Materials. PSW offers a self-service website where claims details are located once payment has been finalized. Providers should allow 45 days for the processing of their claim before contacting PSW for claim status. A corrected claim is any claim that has a change to the original claim (e.g., changes or corrections to diagnosis, procedure codes, date of service, charges, etc). Providers may not charge a beneficiary in cases where the claim was not submitted timely, except for copay/coinsurance amounts, as would have been appropriate if payment had been made.Ī corrected claim must be submitted within 365 days from the date of service to be considered for payment. Claims must be submitted on a timely basis if submitted beyond timely filing guidelines, claims will be denied and the provider has no formal channels of appeal. In order for a claim to be considered timely, it must be a Clean Claim and have been received at PSW.

HUMANA TIMELY FILING PASSWORD

Password can be faxed to 360.754.4324 attn: Claims.Ĭlaims must be submitted and received at PSW within 365 days from the date of service. Med Rec and IS) on a separate file within the CD-ROM. Records more than 25 pages can be mailed to 319 7th AVE SE, Suite 201, Olympia, WA 98501 – preferably on a password protected CD-ROM. Please use our Medical Record Routing Form for attachments less than 25 pages. Attachments cannot be accepted at this time via EDI claims. To ensure claims are routed to the correct location, the back of each Member ID card should be reviewed for EDI submission ID.Ĭlaims must be submitted electronically, following 5010 guidelines and using PSW’s Payer ID # 91171. Participating providers and facilities agree to bill PSW directly via electronic submission for covered services within one year of the date of service. Effective June 1, 2019, Physicians of SW Washington no longer accepts paper claims.