HealthHelp has implemented enhanced prior authorization requirements for advanced imaging requests, now in effect. Providers must submit complete clinical information at the time of request initiation—either by completing required clinical questions in WebConsult or uploading supporting documentation with minimum clinical details, or by providing information during phone intake. This change aims to reduce request delays and pended status by eliminating unnecessary follow-up outreach.
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01Already effective (source states requirements are "now in effect"): Verify that the practice has implemented the following workflow changes for HealthHelp advanced imaging prior authorization requests.
02Billing and authorization staff should ensure complete clinical information is submitted when initiating requests—either by completing all required clinical questions in WebConsult submissions (preferred method) or uploading supporting documentation containing minimum clinical details.
03For phone-submitted requests, confirm that staff are prepared to provide complete clinical information during intake calls with HealthHelp staff.
04Review internal submission procedures to eliminate incomplete requests that previously required follow-up outreach.
05Confirm current applicability with HealthHelp and your Geisinger health plan contact, as the source does not provide an explicit effective date and the policy status should be verified in your active contracts.
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