National Imaging Associates, a Magellan Health Services Company
Welcome to RADMD

Health Plans

BlueCross BlueShield of South Carolina

Welcome to the BlueCross BlueShield of South Carolina page. Here you can access useful materials about the program.

Documents

Spine Care Program

Effective May 1, 2016, BlueCross and BlueChoice will implement a musculoskeletal program. This program includes prior authorization for two components of non-emergent musculoskeletal care: outpatient, interventional spine pain management services; and inpatient and outpatient lumbar and cervical spine surgeries. 

The Call Center will be available beginning Monday, April 25, 2016, for prior authorization for dates of service May 1, 2016, and beyond. 

Clinical Guidelines

  • Clinical Guidelines
  • Refer to the Utilization Review Matrix document to view specific codes managed by NIA  

 Radiation Oncology

Effective January 1, 2015, BlueCross BlueShield of South Carolina and BlueChoice HealthPlan/NIA Magellan will provide utilization management services for all outpatient radiation therapy for all cancer sites effective January 1, 2015.

Radiation Oncology Checklists
NIA Radiation Oncology Coding Standards
Radiation Oncology Management Educational Documents