Medicare AdvantagePrior AuthHigh impact
Pancreatic Enzymes (Revised)
Humana·Gastroenterology, Internal Medicine·Medicare Advantage
We identified it
Jul 22, 2026
Summary
Unable to provide complete analysis. This policy update regarding Pancreatic Enzymes Step Therapy for Medicare Advantage members cannot be fully analyzed because only a summary/content source URL was provided without actual policy content. The specific requirements, affected billing codes, effective date, and step therapy criteria are not accessible in the information supplied.
Action Required
IMMEDIATE: Billing team must access the full policy document at https://dctm.humana.com/Mentor/Web/v.aspx?objectID=090009298a5867ee to extract specific pancreatic enzyme CPT/HCPCS codes, step therapy requirements, and effective date. Do not process pancreatic enzyme claims until full policy content is reviewed and step therapy protocols are implemented in billing system. Contact Humana if access is restricted. Document the policy review completion date and notify providers of any new prior authorization requirements for pancreatic enzyme products.