Health care providers should use HealthHelp’sConsult tool to obtain preauthorization for Humana-covered patients' outpatient TTE and outpatient percutaneous coronary intervention (angioplasty/stent) procedures.
HealthHelp does not review preauthorization requests for the following, as health care providers who participate in an independent practice association (IPA) or other risk network with delegated services need to refer to their IPA or risk network for guidance on processing preauthorization requests:
Other important information
To submit requests for outpatient TTE and percutaneous outpatient coronary intervention (angioplasty/stent) procedures, call 1-866-825-1550. Assistance is available Monday through Friday, 7 a.m. to 7p.m. Central time, and Saturday 7 a.m. to 4 p.m. You may also submit a request via the HealthHelp website. New users should choose “Enroll” under "Consult" to register.
As health care providers move through the preauthorization process, they will be prompted to provide the following information:
Following assessment, an authorization number will be provided, or the health care provider will be contacted for clarification if the information is incomplete or does not meet evidence-based criteria for the procedure requested. HealthHelp will also offer assistance with locating an imaging facility.
State-specific preauthorization forms
While HealthHelp recommends submission of preauthorization requests online or via telephone, the following forms may be used for authorization requests in specific states:
Physicians and other clinicians in Texas may use this form to submit preauthorization requests for their Humana-covered patients. Instructions are available here (127 Kb). Once complete, please fax it to HealthHelp at 1-888-863-4464. Include supporting clinical documentation (e.g., medical records, progress notes, lab reports, radiology studies, etc.) with your fax form.
Physicians and other clinicians in Indiana may use this form to submit preauthorization requests for their Humana-covered patients. Instructions are included on the form. Once complete, please fax it to HealthHelp at 1-888-863-4464. Include supporting clinical documentation (e.g., medical records, progress notes, lab reports, radiology studies, etc.) with your fax form.
Learn more about this program and the patient information required when requesting preauthorization or providing notification.
Learn how to request, schedule and follow up on imaging services and treatment plans for your Humana-insured patients online with Consult by reviewing this tutorial.
If you have technical questions about the Consult preauthorization system, please contact HealthHelp at firstname.lastname@example.org or call 1-800-546-7092. Assistance is available Monday through Friday from 8 a.m. to 6 p.m. Central time.
For clinical questions, call Humana Radiology Services at 1-866-825-1550. Assistance is available Monday through Friday from 7 a.m. to 7 p.m. Central time and Saturday from 7 a.m. to 4 p.m.