Jul 1, 2025 · RadMD is a user-friendly, real-time tool offered by Evolent that provides ordering and rendering providers with instant access to prior authorization requests for specialty procedures.Whether submitting exam requests or checking the status of prior authorization requests, providers will find RadMD to be an efficient, easy-to-navigate resource.

Jul 1, 2025 · 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 of ordered exams, you will find RadMD to be an efficient, easy-to-navigate resource.

NIA was selected to partner with Capital Blue Cross because of their clinically driven program designed to effectively manage quality and member safety, while ensuring the appropriate utilization of resources for Capital Blue Cross members.

Effective May 1, 2022, the program will require prior authorization from NIA for the following non-emergency outpatient diagnostic imaging services: CT/CTA CCTA MRI/MRA PET scan Myocardial perfusion imaging MUGA scan For a list of the CPT-4® codes that NIA authorizes on behalf of Blue Cross Complete, refer to

Jul 1, 2025 · RadMD is a user-friendly, real-time alternative or supplement to our call center. Our system provides instant access to much of the prior authorization information that our call center staff provides.

NIA manages non-emergent outpatient interventional spine pain management services, outpatient and inpatient spine surgeries for Blue Shield members. NIA uses the Blue Shield network of Pain Management Physicians, Surgeons, Hospitals, Surgery Centers, and In-Office Providers as its preferred providers for delivering Outpatient

Guideline Number: NIA_CG_020 Implementation Date: January 2024 GENERAL INFORMATION • It is an expectation that all patients receive care/services from a licensed clinician. All appropriate supporting documentation, including recent pertinent office visit notes, laboratory data, and results of any special testing must be provided. If ...

authorization from NIA for an outpatient advanced imaging service? Providers will be able to request prior authorization at www.RadMD.com or by calling NIA at 1-866-249-1584.

Specific policy administered by National Imaging Associates, Inc. (NIA) Clinical guidelines OUTPATIENT HABILITATIVE PHYSICAL AND OCCUPATIONAL THERAPY . Physical Medicine – Clinical Decision Making Original Date: November 2015 . Guideline Number: HMSA_CG_603. Last Revised Date (by . HMSA): December 2022 . Last Reviewed Date (by NIA): December 2022

NIA’s Clinical Guidelines can be found on NIA’s website, www.RadMD.com under Online Tools/Clinical Guidelines. NIA’s guidelines for Medical Specialty Solutions Services have been developed from practice experience, literature reviews, specialty criteria sets and empirical data. What is an OCR Fax Coversheet?