A Humana remittance that is loaded with CO-197 and CO-16 lines costs a practice twice: once for the visit, and once for the staff time spent chasing the money. Humana claim denials are rarely arbitrary. They are in five buckets. Coverage that no one checked. Authorisations not matching the claim. Coding edits. Deadlines missed. Data errors prevent a claim from being seen by a human. This guide breaks down each cause, the denial code it usually triggers and the habit that’s stopping it. A2Z Billings does insurance billing for practices in over 45 specialities, and the fixes below are ones a billing team can put in place this week.
https://a2zbillings.com/common....-humana-claim-denial
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