Radiology Authorization Changes Effective 8/2/2010

NIA will provide utilization management services for outpatient MR, CT and PET imaging procedures. NIA will manage the prior authorizations for non-emergent, advanced imaging services rendered to Superior Health Plan members effective 8/2/2010. Please click here for more information.

Here are two reference guides on those changes:

Imaging Facilities Reference Guide for Radiology Authorization – Changes Effective 8/2/2010

Ordering Physicians Reference Guide for Radiology Authorization

Below is the link to Advantage Provider Manual. Please contact your Provider Services Representative at 1-877-391-5921 for more information.

Corrected Claim Form

Medicare Advantage Provider Manual

Medicare Advantage Provider Manual Addendum

Medicare Links

Medicare Part B Drug Prior Authorization Request Form

Medicare Part B Drugs Requiring Prior Authorization

Medicare Part D Coverage Determination Request Form

Medication Exception Request Form

Part D: Fraud, Waste and Abuse Training

Prior Authorization Requirements for Medicare

Provider Training Schedule

Waiver of Liability Statement