To submit requests for outpatient TTE and outpatient coronary
angioplasty/stent procedures, call 1-866-825-1550. Assistance is available Monday through Friday, 7 a.m. to 7
p.m. Central time, and Saturday 9 a.m. to 4 p.m. You may also submit a request via the
HealthHelp website. New users should choose “Enroll”
under "RadConsult™" to register.
As health care providers move through the authorization process, they will be prompted to provide the following
- Member name and Humana member identification number
- Ordering physician name
- Ordering physician telephone and fax numbers
- Patient diagnoses or clinical indication [International Classification of Diseases, Ninth Revision (ICD-9) code]
- Procedure ordered (e.g., transthoracic, stress, dobutamine and intravascular echocardiogram; coronary balloon
angioplasty or stent)
- Clinical information supporting procedure request (e.g., presenting symptoms, prior treatment, prior diagnostic
testing result, etc.)
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 authorization forms
While HealthHelp recommends submission of authorization requests online or via telephone, the following forms may be used for authorization requests in specific states:
Texas authorization request form (438 Kb)
Physicians and other clinicians in Texas may use this form to submit authorization 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.
Indiana authorization request form (760 Kb)
Physicians and other clinicians in Indiana may use this form to submit authorization 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.