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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. 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. 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. Who can a provider contact at nia for more information You may contact your dedicated nia provider relations manager
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?
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