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  • Welcome to RadMD. com | RADMD
    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
  • RadMD: Online Access to Evolent
    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 Primarily designed for Imaging Facilities, Hospitals and Health Plans, logging on to RadMD can provide up-to-the-hour information on a member's authorization, including date called, date approved
  • Authorization Requirements - RadMD
    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
  • All Health Plans - RadMD
    Welcome providers! Here you can access our Clinical Guidelines and resources, as well as useful information related to the programs shown on the left hand side of this page Please note: We strongly recommend using RadMD to request a prior authorization If you do need to call, please use the phone number that has been designated for your Evolent prior authorizations That number can be found
  • BCC NIA Quick Reference Guide - RadMD
    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
  • National Imaging Associates Inc. (NIA) Medical Specialty . . . - RadMD
    How does the ordering provider obtain a prior authorization from NIA for a Medical Specialty Solutions outpatient service? Providers can request prior authorization via the internet (RadMD com) or by calling NIA at 1-866500-7664 What information is required to receive prior authorization?
  • NIA Claim Resolution Matrix - radmd. com
    Utilization Review Matrix 2025 HMSA – Commercial and Medicaid members Evolent (formerly National Imaging Associates) has developed the following matrix in an effort to help its clients set up their claim processing systems This matrix is designed to assist in the resolution of claims adjudication and claims questions related to those services managed by Evolent The matrix below contains
  • Resources - RadMD
    Evolent offers a variety of helpful tools and educational resources for your use See the list at the left of this page For Call Center Prior Authorization Phone
  • National Imaging Associates Inc. (NIA)* Medical Specialty . . . - RadMD
    The authorization number is valid for 60 days from the scheduled date of service When a procedure is authorized, NIA uses the scheduled date of service as the starting point for the 60-day period in which the examination must be completed
  • National Imaging Associates, Inc. (NIA)’s Peer-to-Peer Process What to . . .
    A peer-to-peer discussion may not be necessary if the requested clinical documentation is sent prior to contacting NIA office staff (non-clinical) but the case discussion must be conducted by a licensed clinician from the provid Plan to call a few minutes prior to licensed clinician’s availability to provide necessary case information





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