Cardiac Devices
Cardiac implantable devices (e.g., pacemakers, defibrillators and cardiac resynchronization therapy) and wearable defibrillators (e.g., LifeVest®) are administered by HealthHelp, a nationally recognized benefit management organization. Please note that precertification, preadmission, preauthorization and notification requirements all refer to the same process of preauthorization. However, for Medicare Advantage (MA) Private Fee-for-Service (PFFS) plans, notification is requested, not required.
Preauthorization and notification for cardiac devices
Humana uses HealthHelp for obtaining preauthorization or submitting notification for Humana-covered patients' cardiac devices.
Please note: For administrative-services only (ASO) groups, authorization is not required, but if requested, HealthHelp will manage services.
- Puerto Rico commercial, Medicaid and MA members
- Florida MA HMO and Medicaid HMO members
- Ochsner commercial and MA HMO members
- Health Care Partners commercial and MA HMO members
- Chicago risk and delegated providers
Submitting Preauthorization Requests
Humana requires that cardiac devices ordered for a Humana-covered patient, including MA PFFS notification, be administered through the HealthHelp call center by calling 1-866-825-1550, available 7 a.m. to 7 p.m. Central time, Monday through Friday, and 9 a.m. to 4 p.m. Central time, Saturday, or by submitting an online request via HealthHelp’s website at HealthHelp. New enrollees should choose “RadConsult” to register.
HealthHelp
Phone: 1-866-825-1550 Available 7 a.m. to 7 p.m. Central time, Monday through Friday; 9 a.m. to 4 p.m., Saturday
Submitting a request online
Physicians may submit an online request via HealthHelp.
Additional Resources
Humana Cardiology Benefit Management
Learn more about this program and the patient information required when requesting preauthorization or providing notification.
RadConsult Presentation
Learn how to request, schedule and follow up on imaging services and treatment plans for your Humana-covered patients online with RadConsult by viewing the Education on Demand presentation, RadConsult Online.
Questions
Questions about this program may be directed to HealthHelp/RadConsult program support:
Phone: 1-800-546-7092 Available 7 a.m. to 7 p.m. Central time, Monday through Friday; 9 a.m. to 4 p.m., Saturday
Email: rcsupport@healthhelp.com.
