To contact the Behavioral Health Utilization Management team directly, please call 1-877-464-2911 or email to IntegratedBHUMOPT@amerihealthcaritas.com; The review of prior authorization requests for radiology services has been delegated to National Imaging Associates Inc. (NIA); those requests must be directed to 1-877-517-9177 or www.RadMD.com Educational resources include quick reference guides, tip sheets, frequently asked questions, and a recorded Webinar that outlines how to submit a prior authorization. Radiology | BlueCross BlueShield of South Carolina Doctors can request prior authorization by signing in to My Insurance Manager ®, calling 877.440.0089 or faxing 612.367.0742. Imaging and Cardiac Program Prior Authorization Management ... To contact the Behavioral Health Utilization Management team directly, please call 1-877-464-2911 or email to IntegratedBHUMOPT@amerihealthcaritas.com; The review of prior authorization requests for radiology services has been delegated to National Imaging Associates Inc. (NIA); those requests must be directed to 1-877-517-9177 or www.RadMD.com National Imaging Associates (NIA) Sunshine Health has contracted with National Imaging Associates Inc. (NIA), an affiliate of Magellan Health Services, for radiology and cardiac imaging benefit management. PDF Superior HealthPlan and National Imaging Associates (NIA ... Cigna/CareLink High-Tech Imaging Program To obtain and verify authorizations: ordering providers are required to call Cigna at 800.244.6224 prior to scheduling high-tech imaging services. a prior authorization is 1-877-687-1196. How long is the prior authorization number valid? Please refer to NIA's website www.RadMD.com to obtain the Superior/NIA Billable CPT ® Codes As of August 1, 2006. or by calling 1-800-218-7508. They can also call NIA at 866-500-7664, Monday through Friday, from 8 a.m. to 8 p.m., ET. Oncology & supportive medications for members age 21 and older need to be verified by New Century Health. To obtain authorization, the provider should go to www.RadMD.com, or through the NIA dedicated toll-free phone number for Medicare 1-800-424-5388. Providers may begin contacting NIA on July 21, 2021 to seek prior authorization for procedures scheduled on or after August 1, 2021. MeridianHealth Illinois (Medicaid Plan).For information on how to submit a prior authorization request, please refer to MeridianHealth's new prior-authorization check tool at: When an authorization of care is required, our philosophy is to base authorization on a thorough assessment of the member's unique needs to be delivered at the least-intrusive appropriate level, and to do so in a timely and efficient manner. What will the NIA authorization number look like? The program includes management of non-emergent, high-tech, outpatient radiology services through prior authorization. National Imaging Associates (NIA) Western Sky Community Care has contracted with National Imaging Associates Inc. (NIA), an affiliate of Magellan Health Services, for radiology benefit management. Surgery . The prior authorization component of Highmark Delaware's Radiology Management Program will require all physicians and clinical practitioners to obtain authorizations from National Imaging Associates, Inc. (NIA) when ordering select non-emergent, high-tech outpatient radiology services for Highmark Delaware members. The radiology program includes management of non-emergent, high-tech, outpatient radiology services through prior authorization. Prior Authorization Process . Submit all forms and clinical information via fax to 800-953-8856. Failure to obtain pre-authorization will result in payments being denied and the member will be held . You can check the status of a member's prior authorization quickly and easily by going to NIA's website, www.RadMD.com. How long is the prior authorization number valid? Complex imaging, MRA, MRI, PET, and CT scans need to be verified by NIA. Phone: (888) NIA-BLUE (642-2583) Patient care forms Yes. Your PCP or other health care provider must give Keystone First information to show that the service or medication is medically necessary. What does the NIA authorization number look like? Terms of Use; Disclaimer; Privacy Policy Submitting Claims . National Imaging Associates Inc. (NIA) Frequently Asked . In some cases, the ordering provider may instead receive an NIA tracking number (not the same as an authorization number) if the provider's authorization request is not approved at the time of initial contact. This program is consistent with industry-wide efforts . • Continuous updates on authorization status, which reduces time spent on the phone with NIA. Good Things Coming Soon! Box 1495 Maryland Heights, MO 63043. There are two ways to obtain authorizations -- either through NIA's Web site at . IMPORTANT REMINDER: Effective July 1, 2021, the following product will migrate to new systems and platforms:. Contact NIA online or by telephone. Cardiac or pulmonary rehabilitation. The NIA authorization number will consist of 8 or 9 alpha-numeric characters. Q. • Please call MHS Care Management for inpatient and partial hospitalization authorizations at 1-877-647- 4848. require prior authorization through NIA. the authorization forms can be found in the provider resources section of this web site and should be faxed to (877) 212-6669, or submitted electronically via the secure provider portal.participating providers may submit requests for therapy services and visit schedules starting on december 9, 2019 for dates of service on or after january 1, … Congenital defects and birth abnormalities. Any services rendered on and after March 1, 2019, will require prior authorization. •Select your plan (Indiana Medicaid) in the dropdown menu. National Imaging Associates (NIA) MHS has contracted with National Imaging Associates Inc. (NIA), an affiliate of Magellan Health Services, for radiology benefit management. The number to call to obtain a prior authorization is 1-833-444-9088. In an effort to continue promotion of quality improvement for services provided to Carolina Complete Health members, effective July 1, 2021, Carolina Complete Health will use National Imaging Associates, Inc. (NIA) to provide the management and prior authorization of non-emergent, advanced, outpatient imaging services. Authorization requests may be submitted by secure web portal and should include all necessary clinical information. California Health & Wellness has contracted with National Imaging Associates Inc. (NIA), an affiliate of Magellan Health Services, for radiology benefit management.. Online: www.radmd.com. National Imaging Associates (NIA) NH Healthy Families has contracted with National Imaging Associates Inc. (NIA), an affiliate of Magellan Health Services, for radiology benefit management. The authorization number is valid for 60 days from the date of request. To obtain authorization, the provider must go to www.RadMD.com, or call NIA's toll-free numbers: 1-866-249-1583 (Medicaid) or 1-800-424-5388 (Medicare). Prior authorization process. Information Needed to Obtain Prior Authorization To expedite the prior authorization process, please have the following information ready before logging NIA Education Material. ID number and the facility's TIN. So long as the . It is located on the Forms page on CareSource.com: •Hover over the Providers tab and click on Forms. How long is the prior authorization number valid? The program includes management of non-emergent, high-tech, outpatient radiology services through prior authorization. Check back soon to see how Magellan Health is leading humanity to healthy, vibrant lives. Please utilize the Transplant Evaluation and Listing checklists to ensure all required information is submitted along with the prior authorization request form to avoid delay in review. The program includes management of non-emergent, high-tech, outpatient radiology services through prior authorization. • If the ordering provider has not completed the prior authorization process, inform the provider of this requirement and advise the provider to call NIA at 866.642.9703. NIA Call Center will be available to submit requests for prior authorization for dates of service March 1, 2019, and beyond. Q. A. Prior Authorization Process There are two ways to obtain authorizations -- either through NIA's Web site at www.RadMD.com or by calling 1-877-687-1196. The program includes management of non-emergent, high-tech, outpatient radiology services through prior authorization. Authorization. For providers who don't yet Standard prior authorization requests should be submitted for medical necessity review at least five (5) business days before the scheduled service delivery date or as soon as the need for service is identified. 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