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Authorization Information for Radiological Services

An outpatient diagnostic imaging program is active (since September 1, 2006) for members of Health Advantage health plans.

Physicians are required to secure authorization for the following outpatient procedures: CT Scan, MRI/MRA, Nuclear Cardiology and PET Scan.

Health Advantage utilizes National Imaging Associates (NIA) — an independent company — to provide prior authorization services. For more detailed information, please see the Radiology Management Guide or Reminders.

Radiology Management Reference Guide [pdf] - Detailed information regarding the new prior approval program for outpatient diagnostic imaging services.

Radiology Management Reminders [pdf] - Follow these tips to expedite the prior approval process.