GLMS Practice Management Forums
GLMS hosts monthly Practice Management Discussion Forums as an opportunity for medical group managers* and others to meet regularly and discuss insurance hassles and current healthcare trends.
*Only GLMS members and their staff are eligible to participate. For information on GLMS membership, call 502-736-6324
Recent Payer Updates:
Kentucky Physician and Facility Advocate Team
Have questions about claims challenges or educational opportunities?
If you have a claim that remains unresolved after submission of a claim reconsideration, please ensure your email includes:
Humana Claim Payment Inquiry Resolution Guide
To simplify claim payment inquiries, Humana has worked to clarify its process and to ensure that you have the support you need. Attached is the updated resolution guide.
• Page 1 - Information about making claim-payment inquiries and disputing determinations
• Page 2 - Description of Humana’s Provider Payment Integrity (PPI) team’s inquiry and escalation processes
• Page 3 - Contact information pertaining to PPI inquiries and grievances and appeals
• Page 4 - Tools that can help you improve coding accuracy
To read more, click here.