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Our system provides instant access to much of the prior authorization information that our call center staff provides What information is required to receive prior authorization? 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. How does the ordering provider obtain a prior authorization from nia for a medical specialty solutions outpatient service 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 guidelines are reviewed yearly and modified when necessary following a literature search of pertinent and established clinical guidelines and accepted diagnostic imaging practices. Who can a provider contact at nia for more information
You may contact your dedicated nia provider relations manager Clinical guidelines preview 2026 advanced imaging guidelines 2025 advanced imaging guidelines checklists advanced imaging checklist low dose chest ct history form tip. 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.
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