Magellan nia authorization
WebMagellan Health, Inc. ( Magellan ) acquired its subsidiary National Imaging Associates, Inc. (NIA) in 2024. NIA acquired HSM Physical Health Inc. (HSM) in 2015, and consolidated the legal entity HSM into NIA, effective November 30, 2015. All provider materials will be updated to reflect the new legal name. WebMagellan Specialty and Radiology Providers Obtain on-line authorization requests, view specific health plan clinical guidelines and provider education documents, and request a …
Magellan nia authorization
Did you know?
WebThis is a sample Authorization to Disclose PHI to PCP form (PDF) that enables the behavioral health provider to share protected health information (PHI) with the primary care physician (PCP). The provider is encouraged to have each member sign and date the form at the outset of new episodes of care. Clinician Communication Form Web*The matrix below contains all of the CPT-4 codes for which National Imaging Associates (NIA) authorizes on behalf of Magellan Complete Care. This matrix is designed to assist …
WebCentene has completed its sale of Magellan Specialty Health to Evolent Health. Read the press release Evidence-based innovations for mental health and wellbeing Integrated, quality care rooted in over 50 years of experience and expertise Centene Completes Divestiture of Magellan Specialty Health WebMusculoskeletal surgery services rendered through the Emergency Department are not managed by NIA/Magellan. NIA/Magellan does not prior authorize or manage the facility precertification for musculoskeletal surgery services. NOTE: If any joint surgery is to be performed bilaterally on the same date of service, separate authorizations are ...
WebMagnolia Health 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 … WebAug 5, 2024 · Submitting Prior Authorization Requests • There are two preferred ways to submit prior authorization -- either through the NIA website at www.RadMD.com* or by …
WebAuthorization Authorization 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 …
http://sites.magellanhealth.com/media/856915/appendix_i_--_nia_advanced_radiology.pdf brazos county government jobsWebThe requirement applies when services are performed in an outpatient or office site of care. We work with National Imaging Associates (NIA) Magellan Healthcare to manage radiology prior authorizations on behalf of BlueCross BlueShield of South Carolina. To submit your request online, go to www.RadMD.com. This link leads to a third party site. brazos county go texanWebJan 5, 2024 · Providers can also submit prior authorization telephonically at 1-800-642-7554 or through fax at 1-800-784-6864. For any questions or additional information, please contact NIA directly by email at [email protected] or by calling toll-free at 1-800-327-0641. corvallis clinic athena health portalWebAug 27, 2024 · 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 rendering the services previously listed should verify that the necessary authorization has been obtained by visiting www.RadMD.com, or by calling NIA (Medicare) at 1-800-424 … corvalis homes for sale oregonWebAbsolute Total Care oversees the NIA program and is responsible for claims adjudication. Providers rendering the above services should verify that the necessary authorization has been obtained. Failure to do so may result in non-payment of your claim. Please visit the NIA website for more information. NIA General Provider Resources corvallis city shareWeb*The matrix below contains all of the CPT-4 codes for which National Imaging Associates (NIA) authorizes on behalf of Magellan Complete Care. This matrix is designed to assist in the resolution ... do not require separate authorization and are to be used in conjunction with approved primary code for service rendered. corvallis city water billWebPeach State 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. corvallis cleaners