Radiation Therapy

Radiation therapy

Preauthorization for radiation therapy benefits is administered by HealthHelp®, a nationally recognized specialty benefit management organization. Preauthorization is required for radiation therapy services, unless otherwise noted below. 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:

  • Florida Medicare Advantage (MA) health maintenance organization (HMO) members
  • Atlanta MA HMO members
  • Ochsner commercial and MA HMO members
  • Health Care Partners MA HMO members
  • Chicago risk and delegated providers

For Medicare Advantage (MA) Private Fee-for-Service (PFFS) plans, notification is requested, not required.

Submitting preauthorization requests

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

Phone: 1-866-825-1550

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.

Additional resources

Humana Radiology Benefit Management

Learn more about this program and the patient information required when requesting preauthorization or providing notification.

(716 KB) Download PDF

English

RadConsult tutorial

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.

(1.66 MB) Download PDF

English

Questions

If you have technical questions about the RadConsult preauthorization system, please contact RadConsult support staff at rcsupport@healthhelp.com or call 1-800-546-7092. Assistance is available from 8 a.m. to 6 p.m. CST Monday through Friday.

For clinical questions, call 1-866-825-1550. Assistance is available from 7 a.m. to 7 p.m. CST Monday through Friday and from 9 a.m. to 4 p.m. Saturday