Ambetter from Meridian
Welcome to the Ambetter from Meridian 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, Meghan Murphy.
Update on COVID-19
Documents - RBM/Cardiac Program
- Ambetter from Meridian RBM Frequently Asked Questions
- Ambetter from Meridian RBM Ordering Provider Quick Reference Guide
- Ambetter from Meridian RBM Rendering Provider Quick Reference Guide
- Ambetter from Meridian Provider PowerPoint Presentation
- Ambetter from Meridian Utilization Review Matrix-2021
- Ambetter from Meridian Prior Authorization Checklist
- Ambetter from Meridian Tip Sheet
- Ambetter from Meridian Cardiac Frequently Asked Questions
- Ambetter from Meridian Tip Sheet for Cardiac Solutions
- Ambetter from Meridian Tip Sheet MPI vs. SE
- Ambetter from Meridian Peer-to-Peer Process
Documents - Physical Medicine Program
- Ambetter from Meridian Physical Medicine Frequently Asked Questions
- Ambetter from Meridian Physical Medicine Quick Reference Guide
- Ambetter from Meridian Provider PowerPoint Presentation
- Ambetter from Meridian Physical Medicine Tip Sheet
- Ambetter from Meridian 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 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.