Prior authorization

HealthHelp prior authorization for CareOregon effective May 1, 2026: cardiac services, diagnostic imaging, MSK/interventional pain/physical medicine, sleep medicine and genetic testing. Portal access is through CareOregon's OneHealthPort SSO.

HealthHelp prior authorization for Capital District Physicians' Health Plan (New York): high-tech radiology including cardiology (CT, CTA, MRI, MRA, PET, cardiac nuclear medicine), genetic testing and musculoskeletal per the January 2026 FAQ. Fax is the expedited fax; the CDPHP provider portal is recommended.

HealthHelp radiology prior authorization for Geisinger Health Plan (Pennsylvania): CT, CTA, MRI, MRA and PET. Fax is the expedited fax. Geisinger's current provider page says to continue submitting high-end radiology requests through HealthHelp (other cardiovascular/MSK services moved to Cohere).

HealthHelp authorization program for Highmark Wholecare Medicaid and Medicare members: outpatient sleep, radiation oncology and cardiology (since 3/21/2022) plus diagnostic imaging, physical medicine and MSK/interventional pain management (since 5/1/2024). Fax listed is the expedited request fax. Status checks use the same phone.

HealthHelp authorizations for Excellus BlueCross BlueShield (upstate New York): high-tech radiology including cardiology, genetic testing, musculoskeletal, advanced cardiology and radiation therapy (October 2026 FAQ). Web submission recommended.

HealthHelp authorizations for Univera Healthcare (western New York): high-tech radiology including cardiology, genetic testing, musculoskeletal, advanced cardiology and radiation therapy (October 2026 FAQ). Same fax as the Excellus program.

HealthHelp authorizations for Highmark, Inc. molecular/genetic testing. Online requests go through the Highmark provider portal (Availity Essentials).

HealthHelp authorizations for BayCare Health Plans (Florida) effective March 1, 2026: diagnostic imaging (CT, MRI, PET, cardiac nuclear medicine) and cardiology. Online requests through the BayCare provider portal; BayCare provider services: 866-509-5396.

HealthHelp consultative authorization program for MO HealthNet participants: radiology, radiation therapy and cardiology. MO HealthNet landing page: healthhelp.com/mohealthnet. CyberAccess help desk (Conduent) for portal access: 888-581-9797.

HealthHelp authorizations for Walmart plan members administered by UMR: CT, MRI, PET, cardiac nuclear medicine and transthoracic echocardiography. Press 2 for status.

HealthHelp authorizations for Walmart plan members administered by Blue Advantage Administrators of Arkansas: CT, MRI, PET, cardiac nuclear medicine and related advanced imaging.

HealthHelp authorization program for Highmark Health Options Delaware Medicaid (outpatient sleep, radiation oncology, cardiology, diagnostic imaging and related programs; medical oncology beginning 08/01/2025). Fax listed is the expedited request fax. Press option 2 for status.

HealthHelp authorization program for Highmark Health Options West Virginia members (outpatient sleep, radiation oncology, cardiology, diagnostic imaging and related programs). Fax listed is the expedited request fax (shared with other Highmark Wholecare/Health Options programs).

HealthHelp authorizations for University of Michigan Health Plan Medicare members: diagnostic imaging, radiation therapy, sleep studies and medical oncology. Web: healthhelp.com/uofmhealthmedicare. The FAQ's printed expedited fax was not included because it duplicates HealthHelp's program-support digits.

HealthHelp prior authorization for Essence Healthcare (Missouri) Medicare members' medical oncology. Web: healthhelp.com/Essence. Peer-to-peer requests use the fax printed on the peer-to-peer form.

HealthHelp authorization program for BlueCross BlueShield of South Carolina commercial/marketplace members: sleep, cardiology, surgical services and musculoskeletal (effective 2/24/2023; FAQ posted May 2024). Fax listed is the expedited request fax.