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 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 Recording of Provider Physical Medicine Training
RadMD Documents
RadMD is our user-friendly, real-time tool that provides you with instant access to the high-tech imaging authorization and supporting information you need. Whether submitting imaging exam requests or checking the status of a prior authorization request, you will find RadMD to be an efficient, easy-to-navigate resource.
Search for resources by solution below:
Recorded General Trainings
We have a series of training videos that discuss the components of requesting a prior authorization request. Click here to access these videos.
Recorded RadMD Demos
Need additional help using RadMD? Click here to access a series of RadMD demos that demonstrate how to properly submit a prior authorization request.
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.