Guidelines

Does HIDA scan need authorization?

Does HIDA scan need authorization?

This exam may require prior authorization from your insurance provider before we can perform the study. Speak with your referring physician’s office and/or insurance company to understand your coverage and reduce possible delays.

What is an NIA number?

The NIA authorization number consists of eight or nine alpha/numeric characters. In some cases, you may receive an NIA tracking number instead (not the same as an authorization number) if your authorization request is not approved at the time of initial contact.

What is NIA insurance?

(NIA), an affiliate of Magellan Health Services, for radiology and cardiac imaging benefit management. The program includes management of non-emergent, high-tech, outpatient radiology services through prior authorization. Sunshine Health oversees the NIA program and is responsible for claims adjudication.

What is Rad MD?

RadMD is a user-friendly, real-time tool offered by Magellan Healthcare that provides ordering and imaging providers with instant access to submitting authorization requests for specialty procedures.

Does Magellan own Nia?

Magellan Health Services Completes Acquisition of National Imaging Associates, Inc. NIA manages diagnostic imaging services on a non-risk basis for its customers, which include some of the nation’s largest health plans, to ensure that such services are clinically appropriate and cost effective.

Who is National Imaging Associates ( Nia ) outpatient radiology authorization?

National Imaging Associates (NIA) – Outpatient Radiology Authorization AmeriHealth Caritas Pennsylvania’s radiology benefits vendor, National Imaging Associates, Inc. (NIA), provides utilization management review and authorization for non-emergent, advanced, outpatient imaging procedures.

Where can I find NIA prior authorization number?

If you have a question or need more information about NIA’s prior authorization program, you may contact the NIA Provider Service Line at: 1-800-327-0641. You may also reach your dedicated NIA Provider Relations Manager at that number.

Where can I find the NIA clinical guidelines?

Clinical guidelines can be found by visiting the NIA website at www.RadMD.com Additional information and training dates for providers will be shared as they becomes available. To submit prior authorization request types, use the Fidelis Care provider portal. Submit claims electronically with Fidelis Care. Be part of the Fidelis Care mission.

Who is the NIA powered by radmd?

Powered by NIA (National Imaging Associates), RadMD offers providers and contracted health plans a wealth of powerful resources and information.