11 May, 2021 → by ClaimboUser354433
Payments Not Reveived

1

I have a provider whos claims are being processed by Humana under someone other than the provider's tax ID causing claim payments to be issued to the wrong address. We have been calling Humana for 2 years trying to get these claims processed under the correct tax ID ( the one listed on the 1500 form). Each time we call we are told the claim will be reprocessed under the correct Tax ID. This has been going on since 2019. We have 14 outstanding claims still waiting to be reprocessed. All out new claims that get sent to Humana continue to process under someone else's tax ID. Please tell me how this is legal? Shouldn't Humana process a claim according to the 1500 form being submitted? We reached out to credentialing but because the provider is out of network they will not help us. This is ridiculous! Under no circumstance should it take 2 years to get a payment to the provider. Oh and it that wasn't enough, the provider also received recoupment notices for the checks that were made to the other provider! I'm so over Humana and I've advised the provider to not accept anymore Humana patients.
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