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Authorization Information for Radiological Services
The prior authorization program for outpatient diagnostic imaging services became effective Sept. 1, 2006.
Health Advantage utilizes National Imaging Associates (NIA) to provide these prior authorization services.
NIA is an independent company that operates separately from Health Advantage.
All providers should have received the following letter and reference guide in early December 2005.
Provider Letter (118 KB PDF): Notification letter mailed to all Health Advantage providers regarding the new prior authorization program for outpatient diagnostic imaging services.
Radiology Management Reference Guide (295 KB PDF): Detailed information regarding the new prior authorization program for outpatient diagnostic imaging services.
Radiology Management Reminders (1940 KB PDF): Follow these tips to expedite the prior authorization process.
Access to RadMD
In addition to telephonic authorizations, providers may access www.RadMD.com
to request an online authorization. RadMD also provides updated information on a member’s authorization
information — including date called, date approved, exam category, valid billing codes (CPT) and more
(please have NIA tracking number). To sign up for an account to access RadMD, go to www.RadMD.com
and select the "New User" button. Complete clinical guidelines also are available at www.RadMD.com. RadMD is operated by NIA.
NIA is solely responsible for content and operation of their Web site, including the privacy laws that govern the site.
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