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RADMD All Health Plans

To ensure our health plan members and providers are supported during this national state of emergency, we have taken measures to support appeals being processed with no delay. If you currently mail appeals to PO Box 1495 and PO Box 2273, Maryland Heights, MO, we ask that instead of mailing, please submit appeals via fax to 888-656-0701

Actived: 4 days ago

URL: https://www1.radmd.com/all-health-plans.aspx

RADMD WPS Health Plan

(Just Now) WPS Health Plan. Welcome to the WPS Health Plan page. Here you can download the clinical guidelines. If you have any questions about the NIA Program, please contact your dedicated NIA Provider Relations Manager, Leta Genasci. Update on COVID-19

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RADMD Gateway Health

(9 days ago) Gateway Health. Welcome to the Gateway Health page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and FAQs. You can also view information designed to assist you in using RadMD to obtain and check authorizations. If you have any questions about the

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RADMD Centene / Carolina Complete Health

(7 days ago) Centene / Carolina Complete Health. Welcome to the Centene / Carolina Complete Health page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and FAQs.

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RADMD Care1st Health Plan Arizona

(2 days ago) Care1st Health Plan Arizona. Welcome to the Care1st Health Plan Arizona page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and information designed to assist you in using the RadMD Website to obtain and check authorizations.

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RADMD Centene / Superior HealthPlan

(2 days ago) Welcome to the Superior HealthPlan page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and information designed to assist you in using the RadMD Website to obtain and check authorizations. If you have any questions about the NIA Program, please

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RADMD Ambetter from Arkansas Health & Wellness

(3 days ago) Ambetter from Arkansas Health & Wellness. Welcome to the Ambetter from Ambetter of Arkansas page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and information designed to assist you in using the RadMD Website to obtain and check authorizations.

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Aetna New Jersey/western New York Physical Medicine

(6 days ago) • 78 Health Plan Clients serving 27.06 National Lives • 15.57M Commercial; • 1.45M Medicare; • 10.04M Medicaid • 41 states Clinical Leadership • Strong panel of internal Clinical leaders –client consultation; clinical framework • Supplemented by broad panel of external clinical experts as consultants (for guidelines)

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Aetna Physical Medicine Program Update

(9 days ago) Full details of the program and scope limitations can be found in the “Health Plan Specific Educational Docs” section of RadMD.com under Aetna. The list of CPT codes requiring authorizations and the process will remain the same. The updated program will begin on November 9, 2020.

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RADMD Meridian Michigan

(2 days ago) Welcome to the Meridian Michigan page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and information designed to assist you in using the RadMD Website to obtain and check authorizations. If you have any questions about the NIA Program, please

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RADMD ConnectiCare

(7 days ago) ConnectiCare. Welcome to the ConnectiCare page. Here you can download clinical guidelines, policies and procedures specific to both ordering providers and radiation oncology facilities. These include quick reference guides and FAQs. You can also view information designed to assist you in using the RadMD Website to obtain and check authorizations.

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RADMD Recorded General Trainings

(1 days ago) Centene / Magnolia Health; Centene / Managed Health Services; Centene / Nebraska Total Care; Centene / New Hampshire Healthy Families; Centene / Peach State Health Plan; Centene / SilverSummit Health Plan; Centene / Sunflower Health Plan; Centene / Sunshine Health; Centene / Superior HealthPlan; Centene / Trillium Community Health Plan

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RADMD Meridian Illinois

(2 days ago) Welcome to the Meridian Illinois page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and information designed to assist you in using the RadMD Website to obtain and check authorizations. If you have any questions about the NIA Program, please

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RADMD Ambetter from MHS

(2 days ago) Welcome to the Ambetter from MHS page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and information designed to assist you in using the RadMD Website to obtain and check authorizations. If you have any questions about the NIA Program, please

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RADMD Gateway Health Medicare Assured

(5 days ago) Gateway Health Medicare Assured. Welcome to the Gateway Health Medicare Assured page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and FAQs. You can also view information designed to assist you in using the RadMD Web site to obtain and check

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RADMD Centene / Buckeye Community Health Plan

(2 days ago) Welcome to the Buckeye Community Health Plan page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and FAQs. You can also view information designed to assist you in …

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RADMD Magellan Complete Care of Florida

(8 days ago) Magellan Complete Care of Florida. Welcome to the Magellan Complete Care of Florida page. If you have any questions about the NIA Program, please contact your dedicated NIA Provider Relations Manager, Andrew Dietz. Update on COVID-19

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RADMD Centene / Peach State Health Plan

(6 days ago) Centene / Peach State Health Plan. Welcome to the Peach State Health Plan page. Here you can access helpful information related to the program. If you have any questions about the NIA Program, please contact your dedicated NIA Provider Relations Manager, Tony Salvati. Update on COVID-19

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RADMD Centene / Iowa Total Care

(8 days ago) Welcome to the Centene / Iowa Total Care Health Plan page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include Quick Reference Guides and Frequently Asked Questions. You can also view information designed to assist you in using the RadMD Website to obtain and check authorizations.

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2018 MAGELLAN1 CLINICAL GUIDELINES FOR MEDICAL …

(2 days ago) HEALTH NET Version: 2 Effective: January 2018 : “National Imaging Associates, Inc. is a subsidiary of Magellan Healthcare, Inc.”

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RADMD Wellcare of North Carolina

(1 days ago) WellCare of North Carolina. Welcome to the WellCare of New Jersey page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and information designed to assist you in using the RadMD Website to …

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RADMD QualChoice Health Insurance

(2 days ago) QualChoice Health Insurance. Welcome to the QualChoice Health Insurance page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and information designed to assist you in using the RadMD Website to obtain and check authorizations.

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RADMD Molina Complete Care

(5 days ago) Molina Complete Care. Welcome to the Molina Complete Care page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and FAQs. You can also view information designed to assist you in using the RadMD Website to obtain and check authorizations.

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Health Net of California, Inc., Health Net Life Insurance

(4 days ago) 2—Health Net – Ordering Provider Quick Reference Guide Prior Authorization Process There are two ways to obtain authorizations – either through NIA’s website at www.RadMD.com or by calling Health Net of California 1-800-424-4809 and for Health Net of CA Exchange 1-800-424-4802. Information Needed to Obtain Prior Authorization

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Health America Quick Reference Guide for Facilities

(5 days ago) 1—HealthAmerica Rendering Provider QRG Health America Quick Reference Guide for Facilities HealthAmerica Effective December 1, 2009 HealthAmerica, a Coventry Health Care Plan selected NIA Magellan1 to provide radiology network management services.

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HORIZON NJ HEALTH PRE-AUTHORIZATION CODES …

(3 days ago) Page 1 7/22/14 HORIZON NJ HEALTH PRE-AUTHORIZATION CODES MANAGED BY NIA CODE PROCEDURE NO AUTH NO REFER NIA AUTH REQ 77080 DXA Bone Density, Axial X 77082 DXA Bone Density, Vert FX X 70370 Throat X-Ray and Fluoroscopy X 70373 Contrast X-Ray of Larynx X Diagnostic Mammography, producing 72291 Perq Verte/Sacroplsty, Fluor X 72292 Perq …

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Tufts Health Plan Quick Reference Guide for Rendering

(4 days ago) Tufts Health Plan Quick Reference Guide for Rendering Providers Effective: October 1, 2005 REVISED: January 1, 2017 Tufts Health Plan has selected National Imaging Associates, Inc. (NIA) to provide a specialty benefit management program for outpatient advanced imaging and cardiac services for Tufts Health Plan members.

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West Virginia Family Health Quick Reference Guide for

(4 days ago) West Virginia Family Health has selected NIA Magellan1 to implement a radiology benefit management program. This program includes management of non-emergent, advanced, outpatient imaging services to include prior authorization for the West Virginia Family Health, Medicaid membership. This program is consistent with industry-wide efforts to

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RADMD WellCare of Kentucky

(5 days ago) WellCare of Kentucky. Welcome to the WellCare of Kentucky Medicare and Medicaid page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and information designed to assist you in using the RadMD Website to obtain and check authorizations.

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RADMD RadMD Demos

(6 days ago) Centene / Magnolia Health; Centene / Managed Health Services; Centene / Nebraska Total Care; Centene / New Hampshire Healthy Families; Centene / Peach State Health Plan; Centene / SilverSummit Health Plan; Centene / Sunflower Health Plan; Centene / Sunshine Health; Centene / Superior HealthPlan; Centene / Trillium Community Health Plan

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RADMD Ambetter from Buckeye Community Health Plan

(8 days ago) Welcome to the Ambetter from Buckeye Community Health Plan page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and information designed to assist you in using the RadMD Website to obtain and check authorizations. If you have any questions about the

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RADMD WellCare of Florida

(4 days ago) Welcome to the WellCare of Florida page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and information designed to assist you in using the RadMD Website to obtain and check authorizations. If you have any questions about the NIA Program, please

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Coventry Health Care of Florida Quick Reference Guide for

(4 days ago) Coventry Health Care of Florida 1selected NIA Magellan to implement a radiology benefit management program for outpatient advanced imaging services for Coventry Health Care of Florida members. This program is consistent with industry-wide efforts to both ensure clinically appropriate care and manage the

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AvMed Quick Reference Guide For Rendering Physicians

(6 days ago) AvMed Health Plans Modalities Requiring Magellan Healthcare Prior Authorization Free-Standing Advanced Imaging Network Self Insured Membership CT/CTA MRI/MRA PET Magellan Healthcare Free Standing Advanced Imaging Facility Network Fully Insured Membership (Commercial fully insured large and small group plans, Individual and CHOICE) CT/CTA MRI/MRA

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National Imaging Associates, Inc. (NIA), Health Net Health

(7 days ago) The Health Net member ID card does not contain any NIA identifying information on it. No additional card will be issued from NIA. What is an Optical Character Recognition (OCR) fax coversheet? By utilizing OCR technology, NIA can automatically attach incoming clinical faxes to

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Carolina Complete Health Outpatient Imaging Program

(8 days ago) Carolina Complete Health and NIA welcome providers to attend an upcoming provider educational session on the NIA authorization process. There will be hour-long webinar sessions that will take place on the following dates. You will only need to attend one of these educational sessions: • Thursday, June 10, 2021 8:00 a.m. EST

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RADMD Hawaii Medical Service Association

(9 days ago) Welcome to the HMSA (Hawai‘i Medical Service Association) page. Here you can access useful information about the program. If you have questions about the programs, please contact HMSA or your dedicated Magellan Hawaii Provider Relations Manager, Laurie Kim .

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Global Choices

(3 days ago) Behavioral Health Services**** Allergy Services Shots and allergy treatments limited to children under 21 Preventive Services Emergency Ambulance Dental Services $2 co-pay •Children under 21, to include: - 2 cleanings per 12-month period - Extractions and fillings - 1 set of x-rays per 12-month period

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RADMD Ambetter from Meridian

(7 days ago) Welcome to the Ambetter from Meridian page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and information designed to assist you in using the RadMD Website to obtain and check authorizations. If you have any questions about the NIA Program, please

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RADMD Ambetter of Illinois

(5 days ago) Welcome to the Ambetter of Illinois page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and information designed to assist you in using the RadMD Website to obtain and check authorizations. If you have any questions about the NIA Program, please

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Ambetter From Arkansas Health & Wellness Quick Reference

(9 days ago) 3— NIA/ Ambetter from Arkansas Health & Wellness Quick Reference Guide for Imaging Facilities PO Box 5010 Farmington, MO 63640-5010 Providers are encouraged to use EDI claims submission. Arkansas Health & Wellness Solutions payor ID number is 68069. Frequently Asked Questions

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Ambetter from Arkansas Health Wellness FAQ

(9 days ago) Health & Wellness members can receive high quality and cost-effective physical medicine services. How are types of therapies defined? Rehabilitative Therapy – Is a type of treatment or service that seeks to help a patient regain a skill or function that was lost as a result of being sick, hurt or

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National Imaging Associates, Inc.* 2021 Magellan Clinical

(4 days ago) 2021 Magellan Clinical Guidelines-Advanced Imaging 2 Guidelines for Clinical Review Determination Preamble Magellan is committed to the philosophy of supporting safe and effective

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RADMD WellCare of Vermont

(4 days ago) WellCare of Vermont. Welcome to the WellCare of Vermont Medicare page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and information designed to assist you in using the RadMD Website to …

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RADMD WellCare of New Jersey

(7 days ago) Welcome to the WellCare of New Jersey page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and information designed to assist you in using the RadMD Website to obtain and check authorizations.

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New Mexico Uniform Prior Authorization Form

(3 days ago) To contact the coverage review team for Presbyterian Health Plan, please call between the hours of 8:00am – 5:00pm. For after-hours review, please contact 505-923-5757. Department Fax # Phone # To file electronically, send to Prior Authorization 505-843-3047 505-923-8469 or toll-free at 1-866-597-7835

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Ambetter from Magnolia Health Plan Frequently Asked …

(8 days ago) Magnolia Health Diagnostic Imaging Provider Assessment Application or privileging process, contact NIA’s Provider Assessment Department toll-free at 1-888-972-9642 or at [email protected] Is NIA able to assist providers with questions specific to accreditation and / or

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