Ambetter of Tennessee
Welcome to the Ambetter from Ambetter of Tennessee 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
Documents
- Ambetter of Tennessee Announcement Letter
- Ambetter of Tennessee Frequently Asked Questions
- Ambetter of Tennessee Quick Reference Guide for Ordering Providers
- Ambetter of Tennessee Quick Reference Guide for Imaging Providers
- Ambetter of Tennessee Utilization Review Matrix-2021
- Ambetter of Tennessee Checklist
- Ambetter of Tennessee Provider Education PPT
- RadMD Upload Feature
- RadMD Quick Start Guide
- RadMD for Ordering Providers
Physical Medicine Effective January 1, 2021
- Ambetter of Tennessee Webinar Flyer
- Ambetter of Tennessee Announcement Letter
- Ambetter of Tennessee Frequently Asked Questions
- Ambetter of Tennessee Provider Education PowerPoint
- Ambetter of Tennessee Quick Reference Guide
- Ambetter of Tennessee Checklist/Tip Sheet
- Ambetter of Tennessee 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.