Guidelines

Check out our expert clinical guidelines, forms, and FAQs.

Guidelines

 

Check out our expert clinical guidelines, forms, and FAQs.



Forms

Texas Standardized Prior Authorization Request Form For Health Care Services

Texas Form Instructions Texas Request Form

Indiana Standardized Prior Authorization Request Form For Health Care Services

Indiana Request Form
 

WNS-HealthHelp Frequently Asked Questions

You can reach us at (800) 405-4817 for general information about our services, Monday through Friday, 8AM-6PM. To contact a HealthHelp sales representative, call (877) 795-0373. After business hours, call (800) 405-4817 and leave a message and phone number and we will return your call the next business day.

Registered users may initiate a request using the red log-in button at the top of this page or contact Program Support at 800-546-7092 to set up a new account. During business hours, you can also call HealthHelp at (800) 405-4817.

You can call (800) 405-4817 during business hours.

The best way to expedite the review process is to provide complete information from the outset, such as:

  • Member Demographics (Name, DOB, Health Plan Name, ID#)
  • Ordering Provider Demographics (Name, Location, or Tax ID#)
  • Servicing Provider Demographics (Name, Location, or Tax ID#)
  • Service Requested
  • Diagnosis
  • Additional clinical information, such as duration of symptoms, prior test results, prior applicable personal and/or family medical history, or prior treatment type and duration.

One way is to verify that the member’s health plan participates with HealthHelp. You can check a member’s eligibility by calling us at (800) 405-4817 during business hours.

Services may vary based on the individual health plan. Each health plan should provide a list of CPT codes and a description of the utilization review process. If you cannot find the answers you need, call us at (800) 405-4817 during business hours.

We are always looking to optimize and improve our services and appreciate your feedback. Please call (800) 405-4817 during business hours.