Preauthorization requests for diagnostic imaging and breast cancer biopsy (excisional) services are reviewed by HealthHelp®, a nationally recognized specialty benefit management organization. Preauthorization is required for diagnostic imaging and breast cancer biopsy (excisional) services. The terms prior authorization, precertification, preadmission and preauthorization are all used to refer to the preauthorization process.
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
Preauthorization requests for any diagnostic imaging and breast cancer biopsy (excisional) service ordered for a Humana-covered patient are reviewed through HealthHelp’s online program, Consult, or by phone. These treatment plans include computerized tomography (CT) scans, magnetic resonance angiograms (MRA), magnetic resonance imaging (MRI), nuclear stress tests, positron emission tomography (PET) scans, single-photon emission computerized tomography (SPECT) scans and breast cancer biopsy (excisional)..
Submit a request by phone
Available 7 a.m. to 7 p.m. Central time, Monday through Friday and 9 a.m. to 4 p.m., Saturday
Submit a request online
Health care providers may submit a request to Consult, HealthHelp's online program.
State-specific preauthorization forms
While HealthHelp recommends submission of preauthorization requests online or via telephone, the following forms may be used for preauthorization 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.
Humana Radiology Benefit Management
Learn more about this program and the patient information required when requesting preauthorization.
(194 KB) Download PDF
Consult Online tutorial
Learn how to request, schedule and follow up on imaging services and treatment plans for your Humana-insured patients online with Consult Online by reviewing this tutorial.
(1.66 MB) Download PDF
If you have technical questions about the Consult preauthorization system, please contact Consult support staff at email@example.com or call 1-800-546-7092. Assistance is available from 8 a.m. to 6 p.m. Central time, Monday through Friday.
For clinical questions, call 1-866-825-1550. Assistance is available from 7 a.m. to 7 p.m. Central time, Monday through Friday and from 9 a.m. to 4 p.m. Saturday.