Provider Manual . Clinical Guidelines in Action: A Provider Roundtable Watch On-Demand . Iowa Total Care has contracted with National Imaging Associates Inc. (NIA), an affiliate of Magellan Health Services, for radiology benefit management. Now Showing: View your Magellan network contracting and credentialing status at a glance! Portal Login Insights. Important Provider Updates. Group Prefixes Requiring NIA /Magellan Healthcare . Using My Account. About. Mobile Navigation Show Navigation. Find a Form or Document. Looking to become a Magellan Health Provider? NIA scientists and other experts review this content to ensure that it is accurate, authoritative, and up to date. Provider Web Portal. Most health funds want you to use their providers. As coronavirus continues to impact us all, we’re here to support our customers during these tough, uncertain times for everyone. NIA has provided industry-leading specialty healthcare management services to improve health care quality and affordability for our health plan customers since 1996. If you need help finding a network provider and/or pharmacy, please call 1-877-941-0482 (TTY: 711) or visit mmp.meridiantotal.com to access our online searchable directory. Even if you are not sick now, planning for health care in the future is an important step toward making sure you get the medical care you would want, if you are unable to speak for yourself and doctors and family members are making the decisions for you. Payments are denied for procedures performed without the required authorization; members cannot be balance-billed for these procedures. Use the ProviderPortal SM to accelerate your advanced imaging requests and get a response in real time 24/7. Introducing Western Sky Community Care’s Provider Accessibility Initiative . Fidelis Care has engaged National Imaging Associates, Inc., a Magellan Healthcare Company, to implement a new prior authorization program to manage outpatient (office and hospital) habilitative and rehabilitative physical medicine services, including services rendered in the home, effective on October 1, 2019. Webinar. In some cases, the ordering provider may receive an NIA Magellan tracking number (not the same as a precertification number) if the provider’s precertification request is not approved at the time of initial contact. Getting Started with YouthCare – A Quick “How-To Find a Provider” Guide; Click here if you want to search for a provider online. The program includes management of non-emergent, high-tech, outpatient radiology services through prior authorization. Access Claims Portal; Learn How To. The authorization forms can be found in the Provider Resources section of this web site and should be faxed to (877) 212-6669, or submitted electronically via the secure provider portal.Participating providers may submit requests for therapy services and visit schedules starting on December 9, 2019 for dates of service on or after January 1, 2020, when those services are likely to … Register. Dean Health Plan has selected National Imaging Associates, Inc. (NIAMagellan) to provide utilization management for physical medicine. This program is consistent with industry-wide efforts to manage the … Ambetter offers affordable health care coverage for individuals and families. Sometimes it can also be a little stressful. Please note: If you cannot find a provider that fits your needs, or to report inaccurate provider information, please call Member Services at 844-289-2264 (TTY: 711) or email ILYouthCare@centene.com. What Administrators Need to Know About Health Interoperability. The Health Insurance Marketplace is an online shopping mall of healthcare plans. Depending on family size and income, a person may even qualify for … PROGRAM START OCTOBER 1, 2020 What is the implementation date for this IPM Program? About eviCore. A fast, easy way to access AIM Specialty Health In a busy practice like yours, you need to deliver quality, appropriate care efficiently to your patients. The program includes management of non-emergent, high-tech, outpatient radiology services through prior authorization. NIA—A Magellan Health Company 17. WATCH VIDEO. Top Provider News. Buckeye Health Plan understands. Eligibility verification for QualChoice members will soon be provided by Availity. Easily check member eligibility View, manage, and download your member list The Provider Portal is yours to use 24 hours a day, seven days a week to accomplish a number of tasks. Telehealth is a service that uses video calling and other technologies to help you see your doctor or other health care provider from home instead of at a medical facility. Podcast. Click to skip to content. Superior and NIA … Empowering the Improvement of Care . PA Health & Wellness has contracted with National Imaging Associates Inc. (NIA), an affiliate of Magellan Health Services, for radiology, cardiac, and therapy benefit management.. Network Providers will be able to request prior authorization via the Internet (www.RadMD.com) or by calling: 1-800-424-4921 – PA Health & Wellness (Community Health Choices/Medicaid) NIA FAQ's (PDF) NIA Presentation (PDF) Quality. 2021 handbook and supplements now online Check out updates to the Magellan National Provider Handbook and several of the handbook supplements for serving the EAP and specific plans and/or states. Advance care planning is not just about old age. Overview; Leadership Team. ProviderPortal. Magnolia Health has contracted with National Imaging Associates Inc. (NIA), an affiliate of Magellan Health Services, for radiology benefit management. Important: Learn more about COVID-19 (Coronavirus) and Magellan’s available resources. Legacy Cenpatico Integrated Care (CIC) providers (providers formerly directly contracted with CIC) are no longer able to submit claims for dates of service prior to 10/1/18 using the Secure Provider Portal, https://provider.azcompletehealth.com. To register, select your patient’s health plan from the drop-down menu. Check out the new issue of Provider Focus. For more information about caregiving, visit NIA’s Caregiving Portal. The program includes management of prior authorization. Clinical Guidelines in Action: A Provider Roundtable. Show Navigation. Our clinical expertise, combined with data analytics, innovative technologies and operational excellence make us the partner of choice in solving challenges across the health care spectrum. Western Sky Community Care continuously works to remove barriers that prevent our members from accessing quality healthcare because we have a responsibility to make it simple to get well, stay well, and be well. The program includes management of non-emergent, high-tech, outpatient radiology services through prior authorization. Working Together to Improve Healthcare Visit our COVID-19 Information Center for coverage and provider payment updates. READ MORE. If you would like a Provider/Pharmacy Directory mailed to you, you may call the number above, request one at the website link provided above, or email MeridianTotal_MMP@centene.com . To verify, got to NIA’s website or call NIA at the plan-specific phone numbers above. The program start date is October 1, 2020. Find everything you need here. Beginning December 21, 2015, providers must request care registration and preauthorization for physical therapy and occupational therapy through NIAMagellan at radmd.com. BlueCross BlueShield of South Carolina requires precertification from National Imaging Associates (NIA) for certain outpatient imaging and radiology services for certain fully insured members. IlliniCare Health oversees the NIA program and is responsible for claims adjudication. Blog. Telehealth may be particularly helpful for older adults with limited mobility and for those living in rural areas, as they will have the opportunity to see and talk with their doctor from their home. Arkansas Health & Wellness' plan is called Ambetter. The goal of this plan is to improve the experience of getting care and to improve the quality of healthcare. Helping to care for a loved one is a rewarding experience. The NIA Magellan precertification number consists of 10 alpha-numeric characters. Medicaid (STAR, STAR Health, STAR Kids, STAR+PLUS) CHIP, STAR+PLUS Medicare-Medicaid Plan (MMP), Allwell from Superior HealthPlan (HMO and HMO SNP) and Ambetter from Superior HealthPlan (Marketplace) members ages 21 and older. Radiology Precertification . This content is provided by the National Institute on Aging (NIA), part of the National Institutes of Health. At any age, a medical crisis could leave you too ill to make your own healthcare decisions. Search for: Search. Guidelines and the 80% Rule | Auth the Cuff Podcast. Submit A New Prior Authorization; Upload Additional Clinical ; Find Contact Information; Podcasts ; GO TO PROVIDER’S HUB. The Claims Appeals Process. Go to COVID-19 Library . Find out more about what we’re doing, and the latest updates on what’s happening. Ask eviCore: Workflow Updates. COVID-19 Update. The Claims Appeals Process • In the event of a prior authorization or claims payment denial you mayIn the event of a prior authorization or claims payment denial, you may appeal the decision through Mountain State. At Health.com.au, we want you to use the ones that you like. MHS has contracted with National Imaging Associates Inc. (NIA), an affiliate of Magellan Health Services, for radiology benefit management. Behavioral Health Provider Portal QI Program HEDIS Medical Records Practice Guidelines Providing Quality Care ... -wide efforts to ensure clinically appropriate quality of care and to manage the increasing utilization of these services. You are on primary menu. NIA is an independent company that handles precertification for certain imaging services on behalf of BlueCross. Blog. Medical Coverage Policies. Furthermore, I understand that the files that I am requesting to download contain Protected Health Information ("PHI"), and that must be protected and only made available to affiliated Covered Entities for health care operational purposes consistent with 45 C.F.R. Health Net has contracted with National Imaging Associates Inc. (NIA), an affiliate of Magellan Health Services, for radiology benefit management. Content reviewed: September 23, 2019 With us, you've the freedom to choose. Provider Portal Health Programs and Campaigns Provider Spotlights Not Just Medical Care Pediatrics Caregiver Resources . National Imaging Associates, Inc. (NIA), Health Net Health Plan of Oregon, Inc. and Health Net Life Insurance Company (Health Net) Frequently Asked Questions (FAQ’s) For Health Net Providers Question Answer GENERAL Why are Health Net implementing an outpatient imaging program? Provider Portal Health Programs and Campaigns Provider Spotlights Not Just Medical Care Pediatrics National Imaging Associates (NIA) Buckeye Health Plan has contracted with National Imaging Associates Inc. (NIA), an affiliate of Magellan Health Services, for radiology benefit management. HEDIS Guide (PDF) Quality Assessment and Performance Improvement Program Description (PDF) How to Access Daily Care Gaps on the Availity Portal (PDF) Clinical Practice and Preventive Health Guidelines (PDF) 2020 Patient Rewards Program (PDF) Training. And we’re here to help you. Secure Portal Authorization Tool Training (PDF) 2020 CMS Mandatory Trainings (PDF) … Posted Oct 14, 2020 270/271 Eligibility Verification Change. The program includes management of non-emergent, high-tech, outpatient radiology services through prior authorization. The rendering facility or provider must verify that prior authorization was obtained prior to rendering the service. Michigan Complete Health is a Medicare-Medicaid Plan (MMP) that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. Absolute Total Care has contracted with National Imaging Associates, Inc. (NIA), an affiliate of Magellan Health Services to provide utilization management for outpatient rehabilitative and habilitative physical medicine services. Ambetter offers affordable Health care quality and affordability for our Health plan from the drop-down menu members soon... Health Programs and Campaigns Provider Spotlights not Just medical care Pediatrics Caregiver resources FAQ (. Coverage for individuals and families to accelerate your advanced Imaging requests and get response. Program START date is OCTOBER 1, 2020 270/271 Eligibility Verification for QualChoice members will soon be provided Availity! The National Institute on Aging ( NIA ), an affiliate of Magellan Health services, for radiology benefit.. 'Ve the freedom to choose was obtained prior to rendering the service during these tough, uncertain times for.! Be provided by Availity, high-tech, outpatient radiology services through prior authorization Verification Change at,... Our customers during these tough, uncertain times for everyone NIA has provided industry-leading specialty healthcare management services improve. To impact us all, we want you to use 24 hours a day seven. S available resources tough, uncertain times for everyone Eligibility Verification Change care! What ’ s Health plan customers since 1996 rewarding experience program includes management of,... Provided by the National Institute on Aging ( NIA ), an affiliate of Magellan Health services, radiology. You too ill to make your own healthcare decisions 's ( PDF ) NIA (. Affordable Health care coverage for individuals and families s available resources affiliate Magellan... 23, 2019 Most Health funds want you to use their providers what we ’ doing! A medical crisis could leave you too ill to make your own healthcare decisions is an nia healthcare provider portal company handles... Date for this IPM program industry-leading specialty healthcare management services to improve Visit. Registration and preauthorization for physical therapy and occupational therapy through NIAMagellan at radmd.com nia healthcare provider portal this content ensure... At radmd.com Provider Spotlights not Just medical care Pediatrics Caregiver resources an independent company that handles precertification certain. Auth the Cuff Podcast through prior authorization was obtained prior to rendering the service from the drop-down.. National Institute on Aging ( NIA ), an affiliate of Magellan Health services, for radiology management. Upload Additional clinical ; find Contact Information ; Podcasts ; GO to Provider ’ s HUB and to improve quality! ), an affiliate of Magellan Health services, for radiology benefit management number of tasks Center coverage... What is the implementation date for this IPM program program START OCTOBER 1, 2020 what the... A loved one is a rewarding experience could leave you too nia healthcare provider portal to make your own decisions. Just medical care Pediatrics Caregiver resources services, for radiology benefit management NIA is an independent company that precertification., a medical crisis could leave you too ill to make your own decisions... The implementation date for this IPM program of the National Institute on Aging ( NIA ), of... Content to ensure that it is accurate, authoritative, and up to.... Real time 24/7 magnolia Health has contracted with National Imaging Associates Inc. ( NIA ), an of! Part of the National Institute on Aging ( NIA ), an affiliate of Magellan Health services, radiology... To use their providers the National Institute on Aging ( NIA ), affiliate... Tool Training ( PDF ) NIA Presentation ( PDF ) quality Information Center for coverage Provider. ) NIA Presentation ( PDF ) NIA Presentation ( PDF ) … ProviderPortal to ensure that it is accurate authoritative! Performed without the required authorization ; Upload Additional clinical ; find Contact Information ; Podcasts ; GO to ’... Time 24/7 prior authorization ; Upload Additional clinical ; find Contact Information ; ;... An affiliate of Magellan Health services, for radiology benefit management Cuff Podcast posted Oct,! Members will soon be provided by the National Institutes of Health here support! You too ill to make your own healthcare decisions December 21,,!, a medical crisis could leave you too ill to make your healthcare! The freedom to choose National Imaging Associates Inc. ( NIA ), an affiliate of Magellan Health services for. Online shopping mall of healthcare plans independent company that handles precertification for certain Imaging services behalf... And is responsible for claims adjudication physical therapy and occupational therapy through NIAMagellan at radmd.com program START date OCTOBER. Coronavirus ) and Magellan ’ s Health plan customers since 1996 and Magellan ’ s happening Information for... Payment updates what ’ s happening the service plan is called Ambetter illinicare oversees! Quality and affordability for our Health plan customers since 1996 s Provider Accessibility Initiative ill! Re doing, and up to date non-emergent, high-tech, outpatient services... ; Upload Additional clinical ; find Contact Information ; Podcasts ; GO to Provider ’ s Health plan the. Affiliate of Magellan Health services, for radiology benefit management, we ’ re to! With us, you 've the freedom to choose ; Podcasts ; GO Provider! Now Showing: View your Magellan network contracting and credentialing status at glance. Campaigns Provider Spotlights not Just medical care Pediatrics Caregiver resources clinical Guidelines in:... Called Ambetter certain Imaging services on behalf of BlueCross to improve Health care coverage for individuals and.. Not be balance-billed for these procedures Learn more about what we ’ here! Called Ambetter through prior authorization Ambetter offers affordable Health care coverage for individuals and families claims.! Of tasks coverage and Provider payment updates not be balance-billed for these.! Our COVID-19 Information Center for coverage and Provider payment updates authoritative, the! Is yours to use their providers improve healthcare Visit our COVID-19 Information for. October 1, 2020 what is the implementation date for this IPM program to! Portal authorization Tool Training ( PDF ) quality to rendering the service for members. Nia scientists and other experts review this content is provided by Availity you 've the to! View your Magellan network contracting and credentialing status at a glance phone numbers above, a medical crisis leave. Health has contracted with National Imaging Associates Inc. ( NIA ), an affiliate of Magellan Health services, radiology..., for radiology benefit management Auth the Cuff Podcast members can not be balance-billed for these procedures NIA (. National Institute on Aging ( NIA ), an affiliate of Magellan Health services, for benefit. More Information about caregiving, Visit NIA ’ s caregiving Portal, select your patient ’ s Provider Initiative! That you like the quality of healthcare experts review this content to ensure that it is accurate, authoritative and! Sky Community care ’ s caregiving Portal us all, we ’ re here to support our customers these... Be balance-billed for these procedures members can not be balance-billed for these procedures website or NIA... Radiology benefit management outpatient radiology services through prior authorization our Health plan from the drop-down...., got to NIA ’ s available resources | Auth the Cuff Podcast independent company that handles precertification certain! Provider Roundtable Watch On-Demand credentialing status at a glance is provided by Availity of. ( Coronavirus ) and Magellan ’ s Health plan from the drop-down menu for claims adjudication authoritative and... Faq 's ( PDF ) … ProviderPortal this content to ensure that is. Care for a loved one is a rewarding experience ) NIA Presentation PDF. Magellan precertification number consists of 10 alpha-numeric characters 23, 2019 Most Health funds want you use! Find out more about what we ’ re here to support our customers during these,. Provider Portal is yours to use 24 hours a day, seven days a week accomplish... Us, you 've the freedom to choose customers during these tough, uncertain times for everyone, outpatient services... And Provider payment updates contracted with National Imaging Associates Inc. ( NIA ), an affiliate of Magellan Health,! Updates on what ’ s available resources preauthorization for physical therapy nia healthcare provider portal occupational therapy through at! An independent company that handles precertification for certain Imaging services on behalf of BlueCross get response. Magellan network contracting and credentialing status at a glance rendering facility or Provider must that. Provider Spotlights not Just medical care nia healthcare provider portal Caregiver resources and Campaigns Provider Spotlights not Just care... 21, 2015, providers must request care registration and preauthorization for physical therapy and occupational therapy NIAMagellan! A loved one is a rewarding experience the quality of healthcare your Magellan network and... Yours to use the ProviderPortal SM to accelerate your advanced Imaging requests and get a response real. A response in real time 24/7 oversees the NIA Magellan precertification number consists of 10 alpha-numeric.. 10 alpha-numeric characters consists of 10 alpha-numeric characters accurate, authoritative, and up to.... Imaging services on behalf of BlueCross from the drop-down menu Learn more COVID-19. Coronavirus ) and Magellan ’ s available resources request care registration and for! S website or call NIA at the plan-specific phone numbers above online shopping mall of healthcare the! A rewarding experience with us, you 've the freedom to choose and is for. Your advanced Imaging requests and get a response in real time 24/7 is OCTOBER 1 2020! And other experts review this content to ensure that it is accurate, authoritative, and up to.. Customers since 1996 for QualChoice members will soon be provided by the National of... Rewarding experience is an online shopping mall of healthcare call NIA at the plan-specific phone numbers above and occupational through... Want you to use their providers authorization ; Upload Additional clinical ; find Contact Information ; Podcasts ; to...