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RADMD All Health Plans

Appeals Www1.radmd.com

To ensure our health plan members and providers are supported during this national state of emergency, we have taken measures to support appeals being processed with no delay. If you currently mail appeals to PO Box 1495 and PO Box 2273, Maryland Heights, MO, we ask that instead of mailing, please submit appeals via fax to 888-656-0701

Health Insurance
4 days ago / 45 People Used See more...

RADMD Harvard Pilgrim HealthCare

Harvard Www1.radmd.com

Harvard Pilgrim Health Care. Welcome to the Harvard Pilgrim HealthCare page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and FAQs. You can also view information designed to assist you in using the RadMD Website to obtain and check authorizations

Health Insurance
1 days ago / 73 People Used See more...

RADMD PA Health & Wellness

Guides Www1.radmd.com

Welcome to the PA Health & Wellness page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and FAQs.

Wellness Healthcare
3 days ago / 66 People Used See more...

RADMD Ambetter From Arkansas Health & Wellness

Ambetter Www1.radmd.com

Ambetter from Arkansas Health & Wellness. Welcome to the Ambetter from Ambetter of Arkansas page. Here you can download policies and procedures specific to …

Wellness Healthcare
3 days ago / 87 People Used See more...

RADMD Centene / Sunshine Health

Welcome Www1.radmd.com

Welcome to the Sunshine Health Plan page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and information designed to assist you in using the RadMD Website to …

Health Insurance
8 days ago / 73 People Used See more...

RADMD Ambetter From Superior HealthPlan

Ambetter Www1.radmd.com

Ambetter from Superior HealthPlan. Welcome to the Ambetter from Superior HealthPlan page. Here you can download policies and procedures specific to both ordering providers and imaging facilities.

Health Insurance
8 days ago / 84 People Used See more...

RADMD Meridian Illinois

Meridian Www1.radmd.com

Meridian Illinois. Welcome to the Meridian Illinois page. Here you can download policies and procedures specific to both ordering providers and imaging facilities.


2 days ago / 69 People Used See more...

RADMD Centene / Louisiana Healthcare Connections

Therefore Www1.radmd.com

Therefore, beginning March 1, 2019, Louisiana Healthcare Connections will implement a prior authorization of outpatient physical medicine services for its Medicaid membership. Date Extension Announcement for Physical Medicine Providers (New)

Health Insurance
5 days ago / 93 People Used See more...

RADMD Health Net Of California

Facilities Www1.radmd.com

Welcome to the Health Net of California and CalViva Health Plan page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. Here you can download policies and procedures specific to both ordering providers and imaging facilities.

Health Insurance
9 days ago / 78 People Used See more...

Health America Quick Reference Guide For Facilities

Health Www1.radmd.com

Health America Quick Reference Guide for Facilities HealthAmerica Effective December 1, 2009 HealthAmerica, a Coventry Health Care Plan selected NIA Magellan1 to provide radiology network management services. NIA Magellan provides utilization management services for outpatient MR, CT, PET, Nuclear Stress (MPI), CCTA, Echo Stress, Nuclear

Health Insurance
5 days ago / 95 People Used See more...

RADMD MVP Health Care

January Www1.radmd.com

RadMD and the Magellan Healthcare Call Center will be available on December 1, 2018 to start accepting prior-authorization requests for dates of service on or after January 1, 2019. This program will include all lines of business, including select self-funded plans administered by MVP Health

Health Insurance
Just Now / 71 People Used See more...

RADMD Centene / Superior HealthPlan

Superior Www1.radmd.com

Centene / Superior HealthPlan Welcome to the Superior HealthPlan page. Here you can download policies and procedures specific to both ordering providers and imaging facilities.

Health Insurance
2 days ago / 84 People Used See more...

RADMD Caresource Advantage

Caresource Www1.radmd.com

Caresource Advantage. Welcome to CareSource Advantage page. Here you can download policies and procedures specific to both ordering providers and imaging facilities.


5 days ago / 78 People Used See more...

RADMD Centene / Buckeye Community Health Plan

Buckeye Www1.radmd.com

Centene / Buckeye Community Health Plan. Welcome to the Buckeye Community Health Plan page. Here you can download policies and procedures specific to both ordering providers and imaging facilities.

Healthy Eyes
2 days ago / 96 People Used See more...

RADMD Presbyterian Health Plan

Guides Www1.radmd.com

Welcome to the Presbyterian Health Plan page. Here you can download policies and procedures specific to the ordering physicians/surgeons and facilities. These include quick reference guides and FAQs.

Health Insurance
9 days ago / 84 People Used See more...

RADMD WPS Health Plan

Health Www1.radmd.com

WPS Health Plan. Welcome to the WPS Health Plan page. Here you can download the clinical guidelines. If you have any questions about the NIA Program, please contact your dedicated NIA Provider Relations Manager, Leta Genasci. Update on COVID-19

Health Insurance
Just Now / 76 People Used See more...

RADMD WellCare Of Florida

WellCare Www1.radmd.com

WellCare of Florida. Welcome to the WellCare of Florida page. Here you can download policies and procedures specific to both ordering providers and imaging facilities.


4 days ago / 81 People Used See more...

RADMD Select Health Of South Carolina

Designed Www1.radmd.com

Welcome to the Select Health of South Carolina page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and information designed to assist you in using the RadMD Website to obtain and check authorizations.

Health Insurance
6 days ago / 94 People Used See more...

RADMD Ambetter From Sunshine Health

Website Www1.radmd.com

Welcome to the Ambetter from Sunshine Health page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and information designed to assist you in using the RadMD Website to …

Health Insurance
4 days ago / 93 People Used See more...

RADMD WellCare Of New Jersey

WellCare Www1.radmd.com

WellCare of New Jersey. Welcome to the WellCare of New Jersey page. Here you can download policies and procedures specific to both ordering providers and imaging facilities.


7 days ago / 87 People Used See more...

RADMD WellCare Medicare

Health Www1.radmd.com

Gateway Health Medicare Assured; Harvard Pilgrim HealthCare; Hawaii Medical Service Association; HealthNow New York; Health Net of California; Health Net of Oregon; Independent Health; Keystone First; Magellan Complete Care of Florida; Magellan Complete Care of Virginia; Maryland Physicians Care; Meridian Illinois; Meridian Michigan; MVP Health

Medicare Health
2 days ago / 83 People Used See more...

RADMD WellCare Of Kentucky

WellCare Www1.radmd.com

WellCare of Kentucky Welcome to the WellCare of Kentucky Medicare and Medicaid page. Here you can download policies and procedures specific to both ordering providers and imaging facilities.


5 days ago / 87 People Used See more...

RADMD BlueCross BlueShield Of Western New York

Effective Www1.radmd.com

Effective November 1, 2019, Radiation Treatment preauthorization requests for all types of cancer and conditions should be submitted through Magellan Healthcare for BlueCross BlueShield of Western New York Commercial and Medicare Advantage membership.


5 days ago / 108 People Used See more...

RADMD Magellan Complete Care Of Florida

Magellan Www1.radmd.com

Magellan Complete Care of Florida. Welcome to the Magellan Complete Care of Florida page. If you have any questions about the NIA Program, please contact your dedicated NIA Provider Relations Manager, Andrew Dietz. Update on COVID-19


8 days ago / 102 People Used See more...

RADMD QualChoice Health Insurance

Welcome Www1.radmd.com

Welcome to the QualChoice Health Insurance page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and information designed to assist you in using the RadMD Website to obtain and check authorizations.

Health Insurance
2 days ago / 97 People Used See more...

Magellan Healthcare1 Medical Specialty Solutions

Health℠ Www1.radmd.com

1National Imaging Associates, Inc. is an affiliate of Magellan Healthcare, Inc. 1—Gateway Health Medical Specialty Solutions Program - FAQ (rev 02/2021) Magellan Healthcare1 Medical Specialty Solutions Frequently Asked Questions (FAQ’s) For Gateway Health℠ Medicare and Gateway Health℠ Medicaid (Gateway Health) Providers Question Answer

Health Insurance
8 days ago / 84 People Used See more...

RADMD HealthNow New York

Health Www1.radmd.com

Gateway Health Medicare Assured; Harvard Pilgrim HealthCare; Hawaii Medical Service Association; HealthNow New York; Health Net of California; Health Net of Oregon; Independent Health; Keystone First; Magellan Complete Care of Florida; Magellan Complete Care of Virginia; Maryland Physicians Care; Meridian Illinois; Meridian Michigan; MVP Health

Health Insurance
3 days ago / 90 People Used See more...

Magellan Healthcare1 Radiation Oncology Solution Provider

Magellan Www1.radmd.com

Magellan Healthcare Highlights URAC Accreditation & NCQA Certified Magellan Healthcare Facts •Providing Client Solutions since 1995 •Magellan Acquisition (2006) •Headquartered in Scottsdale, AZ •Business supported by two National Call Operational Centers Industry Presence • 79 Health Plan Clients serving 27.43M National Lives

Health Insurance
4 days ago / 112 People Used See more...

RADMD Ambetter From SilverSummit Health Plan

Ambetter Www1.radmd.com

Ambetter from SilverSummit Health Plan Welcome to the Ambetter from SilverSummit HealthPlan page. Here you can download policies and procedures specific …

Health Insurance
3 days ago / 112 People Used See more...

RADMD Meridian Michigan

Meridian Www1.radmd.com

Meridian Michigan. Welcome to the Meridian Michigan page. Here you can download policies and procedures specific to both ordering providers and imaging facilities.


2 days ago / 92 People Used See more...

RADMD Centene / Peach State Health Plan

Peach Www1.radmd.com

Centene / Peach State Health Plan. Welcome to the Peach State Health Plan page. Here you can access helpful information related to the program. If you have any questions about the NIA Program, please contact your dedicated NIA Provider Relations Manager, Tony Salvati. Update on COVID-19

Health Insurance
6 days ago / 107 People Used See more...

RADMD CareSource Ohio

Prior Www1.radmd.com

Prior Authorization Requirements. Effective July 1, 2009, prior authorization will be required for the following non-emergent outpatient radiology procedures for CareSource membership:


Just Now / 92 People Used See more...

Magellan Healthcare1 Frequently Asked Questions (FAQ’s

Gateway Www1.radmd.com

1National Imaging Associates, Inc. is a subsidiary of Magellan Healthcare, Inc. 1 — Gateway Health- Physical Medicine QRG (rev. 01/2021) Magellan Healthcare1 Frequently Asked Questions (FAQ’s) Gateway Health℠ Medicare and Gateway Health℠ Medicaid (Gateway Health) Prior Authorization Program Physical Medicine Services (Effective October 1, 2019)

Health Insurance
Just Now / 113 People Used See more...

Magellan Healthcare RECORD KEEPING AND …

Health Www1.radmd.com

1. Contractual – all covered medically necessary health care services are determined by the practitioner’s contract with the payer and individual health plan benefits. 2. Scope of Practice – medically necessary health care services are limited to the scope of practice under all applicable state and national health care boards. 3.

Health Insurance
7 days ago / 121 People Used See more...

NIA Medical Specialty Solutions

Health Www1.radmd.com

• Coventry Health Care of Georgia, Inc. Participating Hospitals, hospital-owned FSFs and Privileged In- Office Providers offering advanced imaging services will continue under their current Coventry Health Care of Georgia contracts as “in-network” providers. They will need to participate in the NIA Magellan prior authorization program .


Just Now / 145 People Used See more...

RADMD Centene / California Health And Wellness

Centene Www1.radmd.com

Centene / California Health and Wellness. Welcome to the Centene / California Health and Wellness page. Here you can download policies and procedures specific to both ordering providers and imaging facilities.

Wellness Healthcare
3 days ago / 119 People Used See more...

Gateway Health And Gateway Medicare Assured Medical

Health Www1.radmd.com

Health and Magellan Healthcare’s Chief Medical Officers and Clinical Specialty Experts. Validation of clinical criteria within the patient’s medical record is required before an approval can be made. Magellan Healthcare reviews key clinical information to ensure that Gateway Health members are receiving appropriate care prior

Medicare Health
7 days ago / 114 People Used See more...

New Mexico Uniform Prior Authorization Form

Please Www1.radmd.com

To contact the coverage review team for Presbyterian Health Plan, please call between the hours of 8:00am – 5:00pm. For after-hours review, please contact 505-923-5757. Department Fax # Phone # To file electronically, send to Prior Authorization 505-843-3047 505-923-8469 or toll-free at 1-866-597-7835


3 days ago / 121 People Used See more...

Medicare: Model Of Care Training 2020

Using Www1.radmd.com

the SNP will coordinate the care of health care needs and preferences of the member, and share information with the Interdisciplinary Care Team (ICT) • Centene conducts care coordination using the Health Risk Assessment (HRA), an Individualized Care Plan (ICP) and providing an ICT for the member

Beauty Training
7 days ago / 106 People Used See more...

Gateway Health Medicare And Gateway Health Medicaid

Gateway Www1.radmd.com

1National Imaging Associates, Inc. is a subsidiary of Magellan Healthcare, Inc. 1 — Gateway Health- Physical Medicine QRG Gateway Health℠ Medicare and Gateway Health℠ Medicaid (Gateway Health) Physical Medicine Prior Authorization Quick Reference Guide for Providers Effective: October 1, 2019 Revised: January 1, 2021

Medicare Health
Just Now / 120 People Used See more...

National Imaging Associates, Inc. (NIA) Imaging Provider

Imaging Www1.radmd.com

©2021 Magellan Healthcare This document is the proprietary information of Magellan Health and its affiliates. IMAGING PROVIDER HANDBOOK National Imaging Associates, Inc. (NIA) Imaging Provider Handbook Table of Contents Section 1 Introduction


Just Now / 121 People Used See more...

Coventry Health Care Of Oklahoma Quick Reference Guide For

Coventry Www1.radmd.com

Coventry Health Care of Oklahoma Quick Reference Guide for Rendering Providers Effective April 1, 2015 Revised August 1, 2015 . Coventry Health Care of Oklahoma has selected NIA Magellan. 1. to implement a radiology benefit management program for outpatient advanced imaging services for Coventry Health Care of Oklahoma members.

Health Insurance
5 days ago / 137 People Used See more...

Gateway Health Medicare And Medicaid (Gateway Health

Services Www1.radmd.com

Gateway Health selected Magellan Healthcare to implement a Medical Specialty Solutions program for outpatient advanced imaging services. The program is consistent with industry-wide efforts to both ensure clinically appropriate care and manage the increasing utilization of these services.

Medicare Health
Just Now / 133 People Used See more...

RADMD AmeriHealth Caritas New Hampshire

AmeriHealth Www1.radmd.com

AmeriHealth Caritas New Hampshire. Welcome to the AmeriHealth Caritas New Hampshire page. Here you can download policies and procedures specific to both ordering providers and imaging facilities.

Health Insurance
8 days ago / 122 People Used See more...

Coventry Health Care Of West Virginia Quick Reference

Health Www1.radmd.com

Coventry Health Care Of West Virginia Quick Reference Guide for Imaging Providers Effective July 1, 2013 . Coventry Health Care of West Virginia has entered into an agreement with NIA Magellan. 1, an affiliate of Magellan Health Services, to implement a radiology benefit management program for non-emergent, advanced, outpatient radiology services.

Health Insurance
8 days ago / 143 People Used See more...

National Imaging Associates, Inc. (NIA) Medical Specialty

National Www1.radmd.com

National Imaging Associates, Inc. (NIA)1 Medical Specialty Solutions Peach State Health Plan Provider Training 1 National Imaging Associates, Inc. (NIA) is a subsidiary of Magellan Healthcare, Inc.


1 days ago / 137 People Used See more...

Gateway Health Medicare And Gateway Health Medicaid

Gateway Www1.radmd.com

1National Imaging Associates, Inc. is a subsidiary of Magellan Healthcare, Inc. 1— Gateway Health Utilization Review Matrix 2021 Gateway Health℠ Medicare and Gateway Health℠ Medicaid Utilization Review Matrix 2021 The matrix below contains all of the CPT 4 codes for which Magellan Healthcare1 manages on behalf of Gateway Health.

Medicare Health
5 days ago / 132 People Used See more...

National Imaging Associates, Inc. (NIA)1 Medical Specialty

Health Www1.radmd.com

Health Net of California 1-800-424-4809, for Health Net of CA Exchange 1-800-424-4802 or www.RadMD.com. To check the status of an authorization please contact NIA Call Center via toll-free number Health Net of California 1-800-424-4809, for Health Net of CA Exchange 1-800-424-4802 or www.RadMD.com. Imaging Providers:


3 days ago / 121 People Used See more...

Gateway Health And Gateway Medicare Assured Physical

Magellan Www1.radmd.com

Magellan Healthcare’s Physical Medicine Prior Authorization Program Effective October 1, 2019, Gateway Health will begin a prior authorization program through Magellan Healthcare for the management of Physical Medicine Services.

Medicare Health
4 days ago / 123 People Used See more...

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FAQ radmd.com health

What is healthy really means?

Healthy eating means eating a variety of foods that give you the nutrients you need to maintain your health, feel good, and have energy. These nutrients include protein, carbohydrates, fat, water, vitamins, and minerals. Nutrition is important for everyone. When combined with being physically active...

How do you stay healthy?

In order to stay healthy, you need to live an active and aware lifestyle. This means getting at least 30 minutes of exercise daily, eating a well balanced diet, and try and reduce stress in your lifestyle. Becoming more active will help with stress levels and eating a well balanced diet will help keep you healthy.

Is your healthy food really healthy?

Is Your Healthy Food Really Healthy? Give your salad a second look. While salads are a great way to get in your daily vegetables, it's surprisingly simple to... Avoid artificial sweeteners. While reducing the amount of sugar in your diet is always a positive move, artificial... Be picky about popcorn. Popcorn can be a great low-calorie snack when you make it at home. More ...

Is being too healthy unhealthy?

Yep, being too healthy can actually be unhealthy . Orthorexia is an obsession with eating a "pure" diet, which can mean avoiding foods with unhealthy fats, added sugar or salt, genetic modifications, artificial colors, or flavors and preservatives.

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