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Our system provides instant access to much of the prior authorization information that our call center staff. Providers can request prior authorization via the internet. Here you can access our clinical guidelines and resources, as well as useful information related to the programs shown on the left hand side of this page
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You have instant access to the imaging authorization and supporting information you need on this site How does the ordering provider obtain a prior authorization from nia for a medical specialty solutions outpatient service Whether submitting imaging exam requests or checking the status.
These medical necessity criteria were developed by evolent for the purpose of making clinical review determinations for requests for therapies and diagnostic procedures
Click here for a complete list of telephone numbers. Clinical guidelines preview 2026 advanced imaging guidelines 2025 advanced imaging guidelines checklists advanced imaging checklist low dose chest ct history form tip. 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,.
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.
