nia healthcare provider portal

Sometimes it can also be a little stressful. Guidelines and the 80% Rule | Auth the Cuff Podcast. 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 . Portal Login Insights. Blog. MHS has contracted with National Imaging Associates Inc. (NIA), an affiliate of Magellan Health Services, for radiology benefit management. Buckeye Health Plan understands. The NIA Magellan precertification number consists of 10 alpha-numeric characters. Important Provider Updates. 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. 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. To register, select your patient’s health plan from the drop-down menu. Radiology Precertification . About. 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. Register. To verify, got to NIA’s website or call NIA at the plan-specific phone numbers above. Find out more about what we’re doing, and the latest updates on what’s happening. 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 NIA scientists and other experts review this content to ensure that it is accurate, authoritative, and up to date. Find everything you need here. 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 … For more information about caregiving, visit NIA’s Caregiving Portal. The program includes management of non-emergent, high-tech, outpatient radiology services through prior authorization. With us, you've the freedom to choose. Looking to become a Magellan Health Provider? The goal of this plan is to improve the experience of getting care and to improve the quality of healthcare. Provider Portal Health Programs and Campaigns Provider Spotlights Not Just Medical Care Pediatrics Caregiver Resources . NIA is an independent company that handles precertification for certain imaging services on behalf of BlueCross. Use the ProviderPortal SM to accelerate your advanced imaging requests and get a response in real time 24/7. Content reviewed: September 23, 2019 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. Superior and NIA … IlliniCare Health oversees the NIA program and is responsible for claims adjudication. Webinar. About eviCore. Check out the new issue of Provider Focus. Depending on family size and income, a person may even qualify for … The program includes management of non-emergent, high-tech, outpatient radiology services through prior authorization. COVID-19 Update. Blog. Medical Coverage Policies. The program includes management of prior authorization. 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. Getting Started with YouthCare – A Quick “How-To Find a Provider” Guide; Click here if you want to search for a provider online. 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. Group Prefixes Requiring NIA /Magellan Healthcare . 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, If you need help finding a network provider and/or pharmacy, please call 1-877-941-0482 (TTY: 711) or visit to access our online searchable directory. WATCH VIDEO. You are on primary menu. 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. 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 ( or by calling: 1-800-424-4921 – PA Health & Wellness (Community Health Choices/Medicaid) 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. BlueCross BlueShield of South Carolina requires precertification from National Imaging Associates (NIA) for certain outpatient imaging and radiology services for certain fully insured members. Go to COVID-19 Library . Iowa Total Care has contracted with National Imaging Associates Inc. (NIA), an affiliate of Magellan Health Services, for radiology benefit management. 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. Arkansas Health & Wellness' plan is called Ambetter. 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. The Provider Portal is yours to use 24 hours a day, seven days a week to accomplish a number of tasks. Helping to care for a loved one is a rewarding experience. Show Navigation. The program start date is October 1, 2020. This content is provided by the National Institute on Aging (NIA), part of the National Institutes of Health. Important: Learn more about COVID-19 (Coronavirus) and Magellan’s available resources. Search for: Search. Submit A New Prior Authorization; Upload Additional Clinical ; Find Contact Information; Podcasts ; GO TO PROVIDER’S HUB. 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. At, we want you to use the ones that you like. Clinical Guidelines in Action: A Provider Roundtable Watch On-Demand . As coronavirus continues to impact us all, we’re here to support our customers during these tough, uncertain times for everyone. The Health Insurance Marketplace is an online shopping mall of healthcare plans. The program includes management of non-emergent, high-tech, outpatient radiology services through prior authorization. Payments are denied for procedures performed without the required authorization; members cannot be balance-billed for these procedures. The rendering facility or provider must verify that prior authorization was obtained prior to rendering the service. Provider Manual . Top Provider News. NIA has provided industry-leading specialty healthcare management services to improve health care quality and affordability for our health plan customers since 1996. Now Showing: View your Magellan network contracting and credentialing status at a glance! Easily check member eligibility View, manage, and download your member list 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 Web Portal. The Claims Appeals Process. 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. 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. NIA—A Magellan Health Company 17. Beginning December 21, 2015, providers must request care registration and preauthorization for physical therapy and occupational therapy through NIAMagellan at Most health funds want you to use their providers. Clinical Guidelines in Action: A Provider Roundtable. Overview; Leadership Team. Find a Form or Document. Access Claims Portal; Learn How To. Click to skip to content. 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. Podcast. Posted Oct 14, 2020 270/271 Eligibility Verification Change. 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. What Administrators Need to Know About Health Interoperability. Magnolia Health has contracted with National Imaging Associates Inc. (NIA), an affiliate of Magellan Health Services, for radiology benefit management. READ MORE. Advance care planning is not just about old age.

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