I don't see any issues with dates. The patient didn't move or anything same address on the claims. I wonder if it's just Humana being denial happy.
Is it a date thing? Was the code good for one date span and not the other? That's the only thing I can think of besides Humana being difficult as per usual.
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of Hanson,April <April.Hanson@PerhamHealth.org>
Sent: Thursday, June 15, 2023 1:32 PM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] fips code
Good afternoon,
I have a Humana claim that denied for an invalid FIPS code. I don't see anything wrong with the code and have had the claim sent back for review a few times. This same patient had another claim that generated the same FIPS code on a claim with different dates
of service and that claim paid. Humana continues to maintain their decision even when they have reviewed this patient's other claim that paid. Is there a FIPS code lookup that I could possibly use to send in proof to Humana that it's a valid FIPS code? Has
anyone else had this issue with Humana? 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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