AMERIHEALTH CARITAS DELAWARE
Welcome to the AmeriHealth Caritas Delaware page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and FAQs. You can also view 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, Charmaine Everett.
Update on COVID-19
Educational Documents - Outpatient Imaging Program
- Utilization Review Matrix-2021
- Quick Reference Guide for Ordering Provider
- Quick Reference Guide for Rendering Provider
- Frequently Asked Questions
- Provider Training PowerPoint
- Tip Sheet-Top Procedures ordered through NIA
- Prior Authorization Checklist
- Conservative Treatment Form
- Peer-to-Peer Process
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.
- 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.