Preauthorization and notification for radiology services
Humana uses RadConsultTM, HealthHelp’s service for obtaining preauthorization or submitting notification, for Humana-insured patients’ radiology services.
Please note: Exclusions from this requirement include the following members and providers:
- Puerto Rico commercial and MA members
- Florida, California and Nevada MA HMO members
- Ochsner commercial and MA HMO members
- Health Care Partners MA HMO members
- Chicago risk and delegated providers
Submitting Preauthorization Requests
Humana requires that any radiology treatment plans ordered for a Humana-insured patient, including MA PFFS notification, be administered through the RadConsult 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, on Saturday, or by submitting an online request via www.HealthHelp.com/Humana. These preauthorization and notification requirements apply to CT scan, MRA, MRI, nuclear stress test, PET scan and SPECT scan.
RadConsult
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 Radiology Benefit Management
- Learn more about this program and the patient information required when requesting preauthorization or providing notification.
- (64 KB) Download PDF
- English
RadConsult Presentation
Learn how to request, schedule and follow up on imaging services and treatment plans for your Humana-insured patients online with RadConsult by viewing the Education on Demand presentation, RadConsult Online
Questions
Questions about this program may be directed to HealthHelp's 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
E-mail: rcsupport@healthhelp.com
