Do you need an authorization from MA for any of the visits?

You will need to manually bill the claim to MA using their billing rules, billing the dates of service by month and do your best to break out the Humana payment per each visit that you need to bill to MA as the secondary pay source.

Marnie

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Hanson,April
Sent: Thursday, March 16, 2023 9:58 AM
To: billers@list.mnhomecare.org
Subject: MA secondary to Humana

**External Sender**

Good morning,

I have a patient who has Humana primary and MA secondary. I am needing to bill a claim to MA secondary as the patient had patient responsibility. I tried to do so and the claim denied for Dates of service and other errors. The issue is that MA requires you to bill FFS and Humana follows Medicare billing guidelines. How can I bill MA secondary when Humana and MA have totally different billing requirements? I work in Epic. Any guidance would be very helpful. This is a new scenario I have never had to deal with before. Thanks!

April Hanson

Patient Accounts

Perham Living

Ph: 218.347.1894

F: 218.347.1885

April.Hanson@perhamhealth.org

Dedicated to health and wellness throughout life.

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