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These medical necessity criteria were developed by national imaging associates, inc What information is required to receive prior authorization? (nia) for the purpose of making clinical review determinations for requests for therapies and diagnostic procedures.
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. 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. The policies constitute only the reimbursement and coverage guidelines of nia
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 How does the ordering provider obtain a prior authorization from nia for a medical specialty solutions outpatient service
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