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Our system provides instant access to much of the prior authorization information that our call center staff provides Please log into radmd to access the call. These medical necessity criteria were developed by national imaging associates, inc

(nia) for the purpose of making clinical review determinations for requests for therapies and diagnostic procedures. See the list at the left of this page Nia’s guidelines are reviewed yearly and modified when necessary following a literature search of pertinent and established clinical guidelines and accepted diagnostic imaging practices.

Nia’s clinical guidelines are on radmd.com* under online tools/clinical guidelines

Nia’s guidelines for medical specialty solutions services were developed from practice experience, literature reviews, specialty criteria sets and empirical data. You have instant access to the imaging authorization and supporting information you need on this site Whether submitting imaging exam requests or checking the status. Who can a provider contact at nia for more information

You may contact your dedicated nia provider relations manager The policies constitute only the reimbursement and coverage guidelines of nia Coverage for services varies for individual members in accordance with the terms and conditions of applicable certific tes of coverage, summary plan descriptions, or contracts with governing regulatory How does the ordering provider obtain a prior authorization from nia for a medical specialty solutions outpatient service

What information is required to receive prior authorization?

Evolent offers a variety of helpful tools and educational resources for your use

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