Cohere utilizes payer policies, national/local coverage determinations (NCDs and LCDs), and more in order to make an authorization determination. Please review the appropriate policies prior to submitting an authorization request.
To view the policies and guidelines used to decision Humana authorization requests, please go to Humana's medical and pharmacy coverage policies homepage and search for the relevant keyword or policy number. Humana guidelines serve as a decision support tool to help approve prior authorizations for the most appropriate treatment, setting, and and help assure consistency for each individual patient.
These guidelines do not replace NCDs or LCDs. Please use the CMS website to view the most up-to-date medicare coverage policies.