Member Level: Bronze

Vendor Overview

Description of Services: HealthHelp partners with health plans to manage appropriate care in a complex, ever-changing environment. We have developed a predictable evidence-based model that helps ensure the best clinical outcomes while eliminating inappropriate tests and procedures and controlling unnecessary costs.

Proven to outperform traditional prior authorization, the HealthHelp consultative approach finds a solution for every clinical scenario. Our objective is to consistently do the right thing for members, providers, and health plan partners.

HealthHelp’s specialty benefits management programs include: Cardiology, Radiology, Oncology, Musculoskeletal, and Sleep Care.

Primary Service: Utilization/Care/Disease Management
Secondary Service: Claims

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16945 Northchase Drive
Suite 1300
Houston, TX 77060

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Presentation: Case Study: Collaborative UM and PA to Avoid Delays in Appropriate Care
HealthHelp and Geisinger Health Plan share their perspective on the role of denials in traditional PA and its impact on patient quality and outcomes. This was shared at Clinical Excellence Value visit, Arlington,TX, May 2022.