Ambetter from Absolute Total Care
Welcome to the Ambetter from Absolute Total Care Health Plan page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and information designed to assist you in using the RadMD Website to obtain and check authorizations.
If you have any questions about the NIA Program, please contact your dedicated NIA Provider Relations Manager, Tony Salvati.
Update on COVID-19
Radiology Benefits Management Program
- Ambetter from Absolute Total Care Utilization Review Matrix-2021
- Ambetter from Absolute Total Care Frequently Asked Questions
- Ambetter from Absolute Total Care Rendering Provider Quick Reference Guide
- Ambetter from Absolute Total Care Ordering Provider Quick Reference Guide
- Ambetter from Absolute Total Care Prior Authorization Checklist
- Ambetter from Absolute Total Care Provider Education
- Ambetter from Absolute Total Care Tip Sheet
- Ambetter from Absolute Total Care Pediatric Tip Sheet
Cardiac Documents
- Ambetter from Absolute Total Care Cardiac Imaging Frequently Asked Questions
- Ambetter from Absolute Total Care Cardiac Checklist
- Ambetter from Absolute Total Care Cardiac Tip Sheet
- Ambetter from Absolute Total Care Cardiac Tip Sheet for MPI vs SE
Physical Medicine - Effective January 1, 2021
- Ambetter from Absolute Total Care Announcement Letter
- Ambetter from Absolute Total Care Frequently Asked Questions
- Ambetter from Absolute Total Care Quick Reference Guide
- Ambetter from Absolute Total Care Provider Education PowerPoint
- Ambetter from Absolute Total Care Checklist
- Ambetter from Absolute Total Care Webinar Flyer
- Ambetter from Absolute Total Care Recording of Provider Physical Medicine Training
RadMD Documents
- Ordering Provider Access
- RadMD Quick Start Guide
- RadMD Benefits and Logon
- RadMD Upload Feature
- Submitting Clinical Information on RadMD
- RadMD View Exam with Tracking Number
- RadMD Shared Access Quick Start Guide
- RadMD Flyer
RadMD Documents for Physical Medicine
- RadMD Provider Access to Physical Medicine
- RadMD Physical Medicine Quick Start Guide
- RadMD Physical Medicine Upload Feature
- RadMD Request Additional Physical Medicine Visits
- RadMD View Exam with Tracking Number
- RadMD Upload without Login
Recorded General Trainings
Recorded RadMD Demos
Click the link below to see information about the 2013 Jimmo v. Sebelius settlement involving skilled nursing and skilled therapy services.
Clinical Guidelines
- Clinical Guidelines
- Refer to the Utilization Review Matrix document to view specific codes managed by NIA
Clinical Training Modules
We have a series of clinical training modules that will help you avoid delays and ensure that you have the right information before submitting your prior authorization request. Click here to access them.