An outpatient diagnostic imaging program is active (since September 1, 2007) for all members of USAble Mutual Insurance Company health plans and customers of USAble Administrators who elected to add this program.
Physicians are required to secure authorization for the following outpatient procedures: CT Scan, MRI/MRA, Nuclear Cardiology and PET Scan.
USAble Mutual utilizes National Imaging Associates (NIA) — an independent company — to provide prior authorization services. For more detailed information, please see the Radiology Management Guide or Reminders.
Radiology Management Reference Guide [pdf, 512 KB]
Detailed information regarding the new prior authorization program for outpatient diagnostic imaging services.Radiology Management Reminders [pdf, 64 KB]
Tips to expedite the prior authorization process.
Access to RadMD
Doctors can access www.RadMD.com
to find updated information on a member’s authorization information — including
date called, date approved, exam category, valid billing codes (CPT) and more. To
sign up for an account to access RadMD, go to
www.RadMD.com and select the "New User" button. Complete clinical guidelines
also are available at www.RadMD.com.
RadMD is operated by NIA. NIA is solely responsible for the content and operation of its website,
including the privacy laws that govern the site.