The developers of the criteria sets included representatives from the disciplines of radiology, internal medicine, nursing, cardiology, and other specialty groups Evolent’s guidelines are reviewed yearly and modified when. 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. Our system provides instant access to much of the prior authorization information that our call center staff provides 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.
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? 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.
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