AmeriHealth Caritas Pennsylvania
Welcome to the AmeriHealth Caritas Pennsylvania 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, Lori Fink.
Update on COVID-19
Documents
- AmeriHealth Caritas Pennsylvania - Provider Introduction Letter
- AmeriHealth Caritas Pennsylvania - Hospital Introduction Letter
- ACP Lehigh Capital NIA Hospital Notification
- ACP Lehigh Capital NIA Practitioner Notice
- AmeriHealth Caritas Pennsylvania Provider FAQ
- AmeriHealth Caritas Pennsylvania Utilization Review Matrix-2021
- AmeriHealth Caritas Pennsylvania Prior Authorization Checklist
- AmeriHealth Caritas Pennsylvania Provider Training Program
- AmeriHealth Caritas Pennsylvania Quick Reference Guide for Imaging Facilities
- AmeriHealth Caritas Pennsylvania Quick Reference Guide for Ordering Physicians
- Tipsheet for Ordering Advanced Imaging Studies
- Conservative Treatment Form
Cardiac Education
- AmeriHealth Caritas Pennsylvania/ NIA Cardiac Frequently Asked Questions
- AmeriHealth Caritas Pennsylvania/ Cardiac Checklist
- AmeriHealth Caritas Pennsylvania - Cardiac Provider Introduction Letter
RadMD Documents
- RadMD Newsletter
- 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
Recorded General Trainings
Recorded RadMD Demos
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.