HealthHelp will be completing prior authorization reviews for Musculoskeletal/Interventional Pain Management, Physical Medicine, and Diagnostic Imaging beginning 5/1/2024.
NEW - Important Information about providing your clinical documentation. See the tutorial HERE
HealthHelp is a separate company that offers education and guidance from specialists in sleep, cardiology, radiation oncology, physical medicine, diagnostic imaging, and musculoskeletal and interventional pain management for Highmark Wholecare. Health benefits or health benefit administration may be provided by or through Highmark Wholecare, coverage by Gateway Health Plan, an independent licensee of the Blue Cross Blue Shield Association (“Highmark Wholecare”).
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Not enrolled yet? To sign up, simply complete our enrollment form online. Once enrolled, our program support staff will provide your login information and access to an optional online webinar training.
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For more information, email RCSupport@HealthHelp.com or call (800) 546-7092 today.
To receive a copy of the clinical rationale used in the case, please contact HealthHelp's Clinical Guidelines Department at 877-685-5264.
Disclaimer: UM decisions are made only on appropriateness of care, services and existence of coverage as determined by the health plan. Financial incentives are not based on utilization decisions.
UNAUTHORIZED ACCESS IS STRICTLY PROHIBITED
The user will be given access to information which in some cases might include individually identifiable health information, which is considered private, privileged and confidential. Such information is deemed to be Covered Information for purposes of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), P.L. 104-191. The user is required to maintain the private, privileged and confidential status of the Covered Information. The user is prohibited from further using or disclosing the Covered Information for any purpose other than the purpose for which access is granted. Please acknowledge these terms by logging in. If the user logs in, it is intended to be the legal equivalent of the user’s signature on a written document and equally binding. The user will be given access only by logging in.