What is national imaging associates nia? PA Health and Wellness has contracted with National Imaging Associates Inc. (NIA), an affiliate of Magellan Health Services, for radiology, cardiac, and therapy benefit management. Network Providers will be able to request prior authorization via the Internet ( www.RadMD.com) or by calling:How can providers in ma submit imaging forms to nia? Providers in MA can fax the appropriate standard imaging form to NIA at 866.642.9703. Authorizations can also be verified through the secure Provider website via the Referral Inquiry screen — authorizations viewed in this screen are for the service only and do not replace any required referrals to specialists.How do i request nia authorizations for my code? If necessary, you may able request authorizations by contacting NIA via telephone at the toll-free number listed in the reference guides. Effective Oct. 3, 2016, Highmark has implemented a Clinical Validation of Records (CVR) process for all codes that are part of the Radiology Management Program.How do i get a ct scan from the nia? Computed axial tomography (CT/CAT scans) and CT angiography. Prior authorization for these radiological exams is obtained from National Imaging Associates (NIA) or by calling 1-800-424-5657. Cardiac or pulmonary rehabilitation.
866.642.9703 To request and verify authorizations or access medical necessity guidelines, log in to RadMD or call 866.642.9703 for Commercial products or 800.207.4209 for Tufts Health Public Plans products. Massachusetts Providers Massachusetts providers may also fax the applicable form, with member ID and/or NIA tracking number, to NIA at 800.784.6864:
Aetna has selected National Imaging Associates, Inc. (NIA) to provide utilization management for physical medicine. Beginning September 1, 2018, for Delaware, New York, Pennsylvania and West Virginia, providers must request prior authorization for physical therapy, occupational therapy and chiropractic services through NIA at RadMD.com.
What does the NIA authorization number look like? The NIA authorization number consists of alpha-numeric characters. 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.
866-249-1583 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).
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. Whether submitting imaging exam requests or checking the status of prior authorization requests, providers will find RadMD to be an efficient
National Imaging Associates (NIA) Trillium Community Health Plan has contracted with National Imaging Associates Inc. (NIA), an affiliate of Magellan Health Services, for radiology benefit management. The program includes management of non-emergent, high-tech, outpatient radiology services through prior authorization.
800-642-7543 Telephone: 800-642-7543 Authorization status and approved transaction numbers are also available to servicing providers through HPHConnect and NEHEN. Status and transaction numbers can be accessed through NIA’s website at www.radmd.com. Resources NIA 2021 Utilization Review Matrix for Medicare Advantage
Contacts Authorization requests and status information can be obtained by calling the NIA telephone call center. Authorization status for a provider's patients can also be checked online at the NIA website. The website also provides additional information about NIA and its services. Phone: (888) NIA-BLUE (642-2583) Patient care forms