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 OneHealthPort / Comagine Health Provider Portal
Providers located in Washington state must use the Comagine Health Provider Portal to submit requests for imaging and spinal injections.
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.
- Instructions for registering with OneHealthPort and the Comagine Health Provider Portal
- Instructions for accessing the Comagine Health Provider Portal via OneHealthPort
CPT Codes for Review
Request Forms
- When to Submit to Comagine Health
- Spinal Injection Request for Review Form
- Advanced Imaging Request for Review Form
- Surgical Procedure Request for Review Form
Questionnaires
Spinal Injection
- Diagnostic Facet Injection and Medial Branch Block Questionnaire
- Sacroiliac Joint Injection Questionnaire
- Therapeutic Epidural Steroid Injection Questionnaire
Advanced Imaging
- Brain Imaging Questionnaire
- Brain PET Scan Questionnaire
- Breast MRI Questionnaire
- Cardiac Imaging Questionnaire
- Cervical Spine MRI Questionnaire
- CT Abdomen and Pelvis Questionnaire
- CT Abdomen Questionnaire
- CT Pelvis Questionnaire
- Lower Extremity MRI Questionnaire
- Lumbar Spine MRI Questionnaire
- PET/CT Scan and PET Scan Questionnaire
- Upper Extremity MRI Questionnaire
Criteria & Guides
Spinal Injection
- Medical Treatment Guidelines (Washington L&I website)
- Spinal Injection Guidelines (Washington L&I website)
Advanced Imaging
- Advanced Imaging Guidelines (Washington L&I website)
Surgical Procedures
- Medical Treatment Guidelines (Washington L&I website)