Utilization Management Programs:
National Imaging Associates (NIA)
Visit RADMD, a website managed by National Imaging Associates, Inc., designed primarily for imaging centers, hospitals and health plans. This user-friendly, online service provides up-to-the hour information on a member's authorization including date called, date approved, exam category, valid billing codes (CPT) and much more.
Provider Administered Drug Program (PADP)
Visit Magellan Rx Management, a website managed by Magellan Health, Inc., click on the Providers and Physicians tab to access their secure provider self-service tool to obtain a pre-service review of a drug included in PADP or validate authorization status. If a prior authorization request is pended, you will receive a tracking number that you can use to check status. If you need assistance with establishing a unique user name and password for your organization’s administrator, please click on Help.
Note: Magellan Rx Management’s website cannot be used for retrospective or expedited authorization requests.