Harvard Pilgrim operates an oncology and radiation oncology medical management program with OncoHealth (formerly Oncology Analytics). For this program, OncoHealth conducts medical review of chemotherapeutic protocols (chemotherapy, support and symptom management drugs) and radiation treatment plans for Harvard Pilgrim commercial and Medicare Advantage members with a cancer diagnosis that requires these services. Providers can request authorization from OncoHealth via:

  • Online portal — Submit requests  to OncoHealth using the single sign on feature at HPHConnect
  • Fax — Fax your request and clinical records to 800-264-6128
  • Phone — Submit requests by calling 877-222-2021 (with any necessary clinical documentation faxed to the number above and appropriate reference number included)

For more information, including review criteria, please refer to the OncoHealth webpage for Harvard Pilgrim members and providers.