The prior authorization program for outpatient diagnostic imaging services became
effective Sept. 1, 2006. Arkansas Blue Cross and Blue Shield utilizes National Imaging
Associates (NIA) to provide these prior authorization services. NIA is an independent
company that operates separately from Arkansas Blue Cross.
All providers should have received the following letter and reference guide in early
December 2005. This program applies to all Arkansas Blue Cross individual and group
members except members of Medi-Pak, AR Health (where Medicare is primary), and the
Federal Employee Program.
(PDF) — Notification letter mailed to all Arkansas Blue Cross and Blue Shield providers regarding the new prior authorization program for outpatient diagnostic imaging services.Radiology Management Reference Guide
(PDF) — Detailed information regarding the new prior authorization program for outpatient diagnostic imaging services.Radiology Management Reminders
(PDF) — Follow these tips to expedite the prior authorization process.
Access to RadMD
In addition to telephonic authorizations, providers may access www.RadMD.com to request an online authorization. RadMD
also provides updated information on a member's authorization information
— including date called, date approved, exam category, valid billing codes
(CPT) and more (please have NIA tracking number). 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 content and operation of their website, including
the privacy laws that govern the site.