Nia Peer To Peer Phone Number

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800.784.6864

Massachusetts providers may also fax the applicable form, with member ID and/or NIA tracking number, to NIA at 800.784.6864: CT/CTA/MRI/MRA Prior Authorization Form (Standard Form) PET – PET CT Prior Authorization Form (Standard Form)

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800-955-7615

Please see the Administrative Guide for Commercial, Medicare Advantage and DSNP for complete information on health care professional and facility peer to peer requests.. Questions? For general questions about peer to peer reviews, please call UnitedHealthcare Provider Services, toll-free, at 877-842-3210, 7 a.m.–5 p.m. CT, Monday–Friday.To schedule or reschedule a peer to peer …

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800-784-6864

You will be able to upload requested records on the NIA website www.RadMD.com or through the NIA fax number at 1-800-784-6864. Medical necessity reviews are based on clinical guidelines which are available on the NIA website.

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800-642-7543

Harvard Pilgrim retains oversight of all activities delegated to NIA. Action Required-Ordering Provider The ordering clinician is responsible for completion of the NIA authorization process before scheduling advanced imaging services. • Authorizations can be requested on-line at www.radmd.com, or • Contact NIA by telephone at 800-642-7543.

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Updated: 6 hours ago

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800-642-7543

Contact NIA online or by telephone. Online: www.radmd.com. Telephone: 800-642-7543. Authorization status and approved transaction numbers are also available to servicing providers through HPHConnect and NEHEN. Status and transaction numbers can be accessed through NIA’s website at www.radmd.com.

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Updated: 3 hours ago

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800-424-9231

number and the facility’s TIN. So long as the providers coversheet from www.RadMD.com or contact NIA at 1-800-424-9231 to request a fax coversheet online or during the initial phone call may contact the NIA Provider Service Line at: 1-800-327-0641.

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Updated: 2 hours ago

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800-424-1746

or contact NIA Magellan at 1-800-424-1746 to request an OCR fax coversheet if their authorization request is not approved on-line or during the initial phone call to NIA Magellan. NIA Magellan can fax this coversheet to the ordering prov

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800-424-1746

or contact NIA Magellan at 1-800-424-1746 to request an OCR fax coversheet if their authorization request is not approved on-line or during the initial phone call to NIA Magellan. NIA Magellan can fax this coversheet to the ordering prov

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Updated: 6 hours ago

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800-424-1746

or contact NIA Magellan at 1-800-424-1746 to request an OCR fax coversheet if their authorization request is not approved on-line or during the initial phone call to NIA Magellan. NIA Magellan can fax this coversheet to the ordering prov

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Updated: 4 hours ago

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800-218-7508

department, please contact NIA immediately with the appropriate clinical information for an expedited review. The number to call to obtain a prior authorization is 1-800-218-7508. Website: www.RadMD.com Toll Free Phone Number: 1-800-218-7508. 3 – Superior HealthPlan IPM Quick Reference Guide – NIA SHP_20206778A

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Updated: 4 hours ago

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(800) 877-7587

Claims Status. To check claim status and receive explanation of processing for previously submitted claims. Please allow 30 days from the date of submission for processing. EZ-Net. Emblem Health HCP Direct: (800) 877-7587. Empire: (844) 638-0404. Email: claims@hcpipa.com (secure email only) Membership Eligibility

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Updated: 1 hours ago

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  • Frequently Asked Questions

  • How does a peer to peer printer network work?

    If you have a couple of computers, a printer and a broadband router, then you have both a peer to peer network as well as a client server network. The computers will communicate with each other and share the printer, without a server, making it a peer to peer network.

  • What is peer-to-peer (P2P)?

    In its simplest form, a peer-to-peer (P2P) network is created when two or more PCs are connected and share resources without going through a separate server computer. A P2P network can be an ad hoc connection-a couple of computers connected via a Universal Serial Bus to transfer files.

  • What are the benefits of peer to peer networks?

    A major benefit of peer to peer network is that the lack of a centralized server reduces bottlenecks. If you take a client server model, sometimes the servers handling the communication get clogged up. They get a large number of requests from clients, more than the processor can handle.

  • What is peer to peer review in healthcare?

    Peer review is also used to manage physician performance and ensure providers’ skills are held to the highest standards. A physician-level peer to peer review of medical records is often used by health plan professionals to determine whether or not to uphold a denial of coverage for a specific claim.

  • How can peer to peer review support collaboration in the workplace?

    Linking a peer to peer review process to performance appraisal, and by default, employee rewards and recognition, is one of the most effective ways to provide support for collaboration and teamwork within your company.

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