Preauthorization for radiation therapy benefits is administered by HealthHelp, a nationally recognized speciality benefit management organization. Preauthorization is required for radiation therapy services. The terms prior authorization, precertification, preadmission, preauthorization and notification are all used to refer to the preauthorization process.
Exclusions from the preauthorization requirement include the following:
For Medicare Advantage (MA) Private Fee-for-Service (PFFS) plans, notification is requested, not required.
Humana requires that radiation therapy preauthorization requests and notifications be submitted to HealthHelp. These requirements apply to two-dimensional (2D) and three-dimensional (3D) conformal radiation, intensity-modulated radiation therapy (IMRT), brachytherapy, stereotactic radiation therapy and proton-beam procedures.
Submitting a request by phone
Monday – Friday from 7 a.m. to 7 p.m. CST
Saturday from 9 a.m. to 4 p.m. CST
Submitting a request online
Health care providers may submit a request to RadConsult, HealthHelp's online program.
Humana Radiology Benefit Management
Learn more about this program and the patient information required when requesting preauthorization or providing notification.
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Learn how to request, schedule and follow up on imaging services and treatment plans for your Humana- insured patients online with RadConsult by reviewing this tutorial.
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If you have technical questions about the RadConsult preauthorization system, please contact RadConsult support staff at email@example.com or call 1-800-546-7092. Assistance is available Monday through Friday from 8 a.m. to 6 p.m. CST.
For clinical questions, call 1-866-825-1550. Assistance is available Monday through Friday from 7 a.m. to 7 p.m. and Saturday from 9 a.m. to 4 p.m. CST.