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Our system provides instant access to much of the prior authorization information that our call center staff provides 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. 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. 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 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.
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. These medical necessity criteria were developed by evolent for the purpose of making clinical review determinations for requests for therapies and diagnostic procedures 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. Who can a provider contact at nia for more information You may contact your dedicated nia provider relations manager Nia is committed to the philosophy of supporting safe and effective treatment for patients
The medical necessity criteria that follow are guidelines for the provision of diagnostic imaging.
The policies constitute only the reimbursement and coverage guidelines of nia
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