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. These medical necessity criteria were developed by national imaging associates, inc (nia) for the purpose of making clinical review determinations for requests for therapies and diagnostic procedures. 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.
Nia’s guidelines are reviewed yearly and modified when necessary following a literature search of pertinent and established clinical guidelines and accepted diagnostic imaging practices. Who can a provider contact at nia for more information You may contact your dedicated nia provider relations manager How does the ordering provider obtain a prior authorization from nia for a medical specialty solutions outpatient service What information is required to receive prior authorization? Evolent offers a variety of helpful tools and educational resources for your use
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Coverage for services varies for individual members in accordance with the terms and conditions of applicable certific tes of coverage, summary plan descriptions, or contracts with governing regulatory
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