Comagine Health Provider Portal
The Comagine Health Provider Portal is a web-based application that allows you to submit utilization management (UM) review requests via the internet. Washington state providers access the Comagine Health Provider Portal through OneHealthPort.
Go to OneHealthPort / Comagine Health Provider Portal
Providers located in Washington state must use the Comagine Health Provider Portal to submit requests for services.
Getting Started
In order to submit requests via the Comagine Health Provider Portal, your organization must be registered with both OneHealthPort and the Comagine Health Provider Portal.
Training
Comagine Health Provider Portal Upgrade Training Webinars (May 2023)
Comagine Health Provider Portal Update
The system upgrade is now live! Click the links below for documents containing step by step instructions. Call Comagine Health at 800-541-2894 for assistance or to schedule a web-based training for your team if needed.
Utilization review criteria
In compliance with the Centers for Medicare & Medicaid Services (CMS) Interoperability and Prior Authorization Final Rule (CMS-0057-F), the InterQual® criteria we use for utilization review are available for viewing at this link. One-time registration is required to view the criteria – please follow the instructions to register.
CPT Codes for Review
Request Forms
Questionnaires
Advanced Imaging
Physical Medicine
Spinal Injection
Other Resources
General
Advanced Imaging Utilization Review
Evidence-Based Imaging Guidelines
Inpatient/Outpatient Utilization Review
All inpatient services require utilization review through Comagine Health.