Health Advantage

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.

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.

Linking Disclaimer

By selecting one of the links above, you will be exiting the Health Advantage Web site. If you choose to access other Web sites from this Web site, you agree, as a condition of choosing any such link or access, that Health Advantage is not and shall not be responsible or liable to you or to others in any way for your decision to link to such other Web sites... [read more] By selecting one of the links above, you will be exiting the Health Advantage Web site. If you choose to access other Web sites from this Web site, you agree, as a condition of choosing any such link or access, that Health Advantage is not and shall not be responsible or liable to you or to others in any way for your decision to link to such other Web sites. You further agree that Health Advantage and its affiliates, its directors, officers, employees and agents ("the Health Advantage Parties") are not responsible for the content of any other Web site to which you may link, nor are Health Advantage or the Health Advantage Parties liable or responsible under any circumstances for the activities, omissions or conduct of any owner or operator of any other Web site. Once you choose to link to another Web site, you understand and agree that you have exited this Web site and are no longer accessing or using any Health Advantage Data. You understand and agree that by making any third-party Web site link available as an option to you, Health Advantage does not in any way endorse any such Web site, nor state or imply that you should access such Web site or any services, products or information which may be offered to you through such other Web sites or by the owner or operator of such other Web sites. The owners or operators of any other Web sites (not Health Advantage) are solely responsible for the content and operation of all such Web sites. Health Advantage makes no warranties or representations of any kind, express or implied, nor of merchantability or fitness for a particular purpose, nor of non-infringement, with regard to the content or operation of any other Web site to which you may link from this Web site.[close]