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Our system provides instant access to much of the prior authorization information that our call center staff provides What information does nia require before a medical necessity review can be initiated for prior authorization determination Who can a provider contact at nia for more information
You may contact your dedicated nia provider relations manager 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. 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?
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 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.
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