Thursday, May 26, 2022

Humana

Rick Stapleton

List-serve,

I have just received a denial for test sockets (we called to check on pre-auth) on a Humana Medicare patient. We were told that test sockets are a non-covered service for this patient’s policy. Has anyone had a similar experience? Were you able to appeal? Were you successful? How can they deny services to a Medicare recipient when it is normally a covered service?

I guess the insurance industry wants us all to go back to the 1960s. Thanks in advance for your responses.

Unbelievable,

Rick Stapleton, CPO

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