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.

Provider Letter (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.