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RADMD All Health Plans

Details: 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

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› Url: https://www1.radmd.com/all-health-plans.aspx Go Now

• Get more: Radmd prior authorization formGo Now

RADMD Independent Health

Details: Independent Health. Welcome to the Independent Health 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 Web site to obtain and check authoriztions. If you have any questions about the NIA

› Verified 3 days ago

› Url: https://www1.radmd.com/all-health-plans/independent-health.aspx Go Now

• Get more: Nia magellan provider portalGo Now

RADMD Gateway Health

Details: 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

› Verified 8 days ago

› Url: http://www1.radmd.com/all-health-plans/gateway-health.aspx Go Now

• Get more: Nia pre authGo Now

RADMD Centene / Home State Health Plan

Details: Welcome to the Centene / Home State 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 using the RadMD Website to obtain and check authorizations.

› Verified 4 days ago

› Url: http://www1.radmd.com/all-health-plans/centene-home-state-health-plan.aspx Go Now

• Get more: Radmd phone number for providersGo Now

RADMD Centene / Managed Health Services

Details: Centene/ Managed Health Services. Welcome to the Managed Health Services Health Plan page. Here you can download policies and procedures specific to the ordering physicians and 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

› Verified 6 days ago

› Url: https://www1.radmd.com/all-health-plans/centene-managed-health-services.aspx Go Now

• Get more: Nia radiology prior authorization formGo Now

RADMD Gateway Health Medicare Assured

Details: 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

› Verified 5 days ago

› Url: http://www1.radmd.com/all-health-plans/gateway-health-medicare-assured.aspx Go Now

• Get more: Radmd prior authorization numberGo Now

RADMD Tufts Health Plan

Details: Tufts Health Plan. Welcome to the Tufts 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 using the RadMD Website to obtain and check authorizations.

› Verified 1 days ago

› Url: http://www1.radmd.com/all-health-plans/tufts-health-plan.aspx Go Now

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Aetna Physical Medicine Program Update

Details: 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.

› Verified 9 days ago

› Url: https://www1.radmd.com/media/907989/aetna-total-unit-update-physical-medicine-ppt-nia.pdf Go Now

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Aetna New Jersey/western New York Physical Medicine

Details: • 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)

› Verified 6 days ago

› Url: https://www1.radmd.com/media/795517/aetna-new-jersey-western-new-york-physical-medicine-physician-education-11122018-final.pdf Go Now

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RADMD Harvard Pilgrim HealthCare

Details: Harvard Pilgrim Health Care. Welcome to the Harvard Pilgrim HealthCare 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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› Url: http://www1.radmd.com/all-health-plans/harvard-pilgrim-healthcare.aspx Go Now

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RADMD Ambetter from MHS

Details: 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

› Verified 2 days ago

› Url: https://www1.radmd.com/all-health-plans/ambetter-from-mhs.aspx Go Now

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RADMD PA Health & Wellness

Details: PA Health & Wellness. Welcome to the PA Health & Wellness 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.

› Verified 3 days ago

› Url: https://www1.radmd.com/all-health-plans/pa-health-wellness.aspx Go Now

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RADMD BlueChoice Health Plan

Details: BlueChoice Health Plan. Welcome to the BlueChoice 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

› Verified 7 days ago

› Url: https://www1.radmd.com/all-health-plans/bluechoice-health-plan.aspx Go Now

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RADMD WPS Health Plan

Details: WPS Health Plan Rendering Provider Quick Reference Guide; RadMD Documents. RadMD is our user-friendly, real-time tool that provides you with instant access to the high-tech imaging authorization and supporting information you need. Whether submitting imaging exam requests or checking the status of a prior authorization request, you will find

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› Url: https://www1.radmd.com/all-health-plans/wps-health-plan.aspx Go Now

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RADMD Centene / SilverSummit Health Plan

Details: Health Plan Specific Clinical Guidelines; Refer to the Utilization Review Matrix document to view specific codes managed by NIA. Clinical Training Modules. We have a series of clinical training modules that will help you avoid delays and ensure that you have the right information before submitting your prior authorization request.

› Verified 6 days ago

› Url: http://www1.radmd.com/all-health-plans/centene-silversummit-health-plan.aspx Go Now

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RADMD WellFirst Health

Details: WellFirst Health. Welcome to the WellFirst Health page. Here you can access useful materials about the program. Here you can download clinical guidelines, policies and procedures specific to both ordering providers and surgeons.

› Verified 1 days ago

› Url: https://www1.radmd.com/all-health-plans/wellfirst-health.aspx Go Now

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RADMD Care1st Health Plan Arizona

Details: 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.

› Verified 2 days ago

› Url: https://www1.radmd.com/all-health-plans/care1st-health-plan-arizona.aspx Go Now

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RADMD Dean Health Plan

Details: Dean Health Plan has selected National Imaging Associates, Inc. (NIAMagellan) to provide utilization management for physical medicine. Beginning December 21, 2015, providers must request care registration and preauthorization for physical therapy and occupational therapy through NIAMagellan at radmd.com. If you have any questions about the NIA

› Verified 1 days ago

› Url: https://www1.radmd.com/all-health-plans/dean-health-plan.aspx Go Now

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RADMD ConnectiCare

Details: 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.

› Verified 7 days ago

› Url: https://www1.radmd.com/all-health-plans/connecticare.aspx Go Now

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RADMD Health Net of Oregon

Details: Health Net of Oregon Cardiac Tip Sheet MPI vs Stress Echo; RadMD Documents. RadMD is our user-friendly, real-time tool that provides you with instant access to the high-tech imaging authorization and supporting information you need. Whether submitting imaging exam requests or checking the status of a prior authorization request, you will find

› Verified 5 days ago

› Url: https://www1.radmd.com/all-health-plans/health-net-of-oregon.aspx Go Now

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RADMD Centene / Sunshine Health

Details: Centene / Sunshine Health. Welcome to the Sunshine 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.

› Verified 8 days ago

› Url: https://www1.radmd.com/all-health-plans/centene-sunshine-health.aspx Go Now

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RADMD Centene / Peach State Health Plan

Details: 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

› Verified 6 days ago

› Url: https://www1.radmd.com/all-health-plans/centene-peach-state-health-plan.aspx Go Now

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HORIZON NJ HEALTH PRE-AUTHORIZATION CODES …

Details: 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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› Url: http://www1.radmd.com/media/625058/horizon-nj-health-codes-managed-by-magellan-healthcare.pdf Go Now

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RADMD Meridian Illinois

Details: RadMD is our user-friendly, real-time tool that provides you with instant access to the high-tech imaging authorization and supporting information you need. Whether submitting imaging exam requests or checking the status of a prior authorization request, you will find RadMD to be an efficient, easy-to-navigate resource.

› Verified 2 days ago

› Url: https://www1.radmd.com/all-health-plans/meridian-illinois.aspx Go Now

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RADMD Meridian Michigan

Details: RadMD is our user-friendly, real-time tool that provides you with instant access to the high-tech imaging authorization and supporting information you need. Whether submitting imaging exam requests or checking the status of a prior authorization request, you will find RadMD to be an efficient, easy-to-navigate resource.

› Verified 2 days ago

› Url: https://www1.radmd.com/all-health-plans/meridian-michigan.aspx Go Now

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RADMD Ambetter from Peach State Health Plan

Details: Welcome to the Ambetter from Peach State 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 NIA

› Verified 2 days ago

› Url: https://www1.radmd.com/all-health-plans/ambetter-from-peach-state-health-plan.aspx Go Now

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Magellan Healthcare’s1 Musculoskeletal Care Management

Details: Magellan Healthcare manages Dean Health Plan’s MSK program which is designed to improve quality and patient safety for non-emergent* surgeries, occurring in outpatient and inpatient settings, through the use of evidenced-based guidelines.

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› Url: https://www1.radmd.com/media/937602/dean-msk-faq-pos-magellan-final.pdf Go Now

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RADMD Ambetter from Buckeye Community Health Plan

Details: 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

› Verified 8 days ago

› Url: https://www1.radmd.com/all-health-plans/ambetter-from-buckeye-community-health-plan.aspx Go Now

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

Details: 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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› Url: https://www1.radmd.com/media/703358/health-net-of-oregon-frequently-asked-questions.pdf Go Now

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RADMD Highmark Blue Shield of Northeastern New York

Details: RadMD is our user-friendly, real-time tool that provides you with instant access to the high-tech imaging authorization and supporting information you need. Whether submitting imaging exam requests or checking the status of a prior authorization request, you will find RadMD to be an efficient, easy-to-navigate resource.

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› Url: https://www1.radmd.com/all-health-plans/highmark-blue-shield-of-northeastern-new-york.aspx Go Now

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Magnolia Health Quick Reference Guide For Imaging Facilities

Details: Magnolia Health will continue to perform prior authorization of coverage for interventional radiology procedures (even those that utilize MR/CT technology) Prior Authorization Implementation Recommendations . As a provider of diagnostic imaging services that require prior authorization, it …

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› Url: https://www1.radmd.com/media/277557/magnolia-cardiac-expansion-rendering-provider-qrg-05082015.pdf Go Now

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National Imaging Associates, Inc. (NIA) Frequently Asked

Details: 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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› Url: https://www1.radmd.com/media/704034/health-net-of-arizona-frequently-asked-questions.pdf Go Now

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National Imaging Associates, Inc. (NIA) Frequently Asked

Details: Health plans who will be receiving these services. • NIA manages physical medicine services through Fidelis Care’s network of providers that perform physical medicine services. Is prior authorization necessary for physical medicine services if Fidelis Care is NOT the member’s primary insurance? Yes.

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› Url: https://www1.radmd.com/media/945758/final-fidelis-care-physical-medicine-faq.pdf Go Now

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RADMD Wellcare of North Carolina

Details: WellCare of North Carolina. Welcome to the WellCare of North Carolina page. Here you can download policies and procedures specific to both ordering providers and imaging facilities.

› Verified 1 days ago

› Url: https://www1.radmd.com/all-health-plans/wellcare-of-north-carolina.aspx Go Now

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Gateway Health & Gateway Medicare Assured (Gateway …

Details: Gateway Health. Providers are strongly encouraged to use EDI claims submission. Check on claims status by logging on to the Gateway Health website at https://www.gatewayhealthplan. com/provider In the event of a prior authorization or claims payment denial, …

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› Url: https://www1.radmd.com/media/934681/gateway-health-and-gateway-health-medicare-med-spec-solutions-external-ppt.pdf Go Now

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SUPERIOR HEALTHPLAN

Details: 2—Superior health plan specific policy administered by NIA Outpatient Habilitative Speech Therapy National Imaging Associates will not deny requests for Medicaid members without consideration of coverage under federal Early and Periodic Screening, Diagnostic and Treatment (EPSDT) guidelines.

› Verified 3 days ago

› Url: https://www1.radmd.com/media/947605/outpatient-habilitative-and-rehabilitative-speech-therapy-superior-health.pdf Go Now

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Gateway Health Medicare Assured Quick Reference Guide For

Details: Gateway Health℠ has selected Magellan Healthcare1 to implement a radiology benefit management program for outpatient advanced imaging services for Gateway Health Medicare Assured members. This program is consistent with industry-wide efforts to both

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› Url: http://www1.radmd.com/media/497637/gateway-medicare-assured-qrg-for-rendering-providers-3.pdf Go Now

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RADMD WellCare of Rhode Island

Details: WellCare of Rhode Island. Welcome to the WellCare of Rhode Island Medicare page. Here you can download policies and procedures specific to both ordering providers and imaging facilities.

› Verified 9 days ago

› Url: https://www1.radmd.com/all-health-plans/wellcare-of-rhode-island.aspx Go Now

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NIA Magellan Frequently Asked Questions (FAQ’s) For

Details: Which Gateway Health members will be covered under this relationship and what networks will be used? Effective February 1, 2015, NIA Magellan will manage non-emergent outpatient imaging services for Gateway Health membership through Gateway Health’s contractual relationships. This will include Gateway Health Medicaid HMO members.

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› Url: https://www1.radmd.com/media/309607/gateway-pennsylvania-frequently-asked-questions-final.pdf Go Now

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