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

Health Plans

Capital Blue Cross

Welcome to the Capital Blue Cross Health Plan page. Here you can access helpful information related to the program.

In keeping with our commitment of promoting continuous quality improvement for services provided to Capital Blue Cross members, Capital Blue Cross is expanding its partnership with Magellan Healthcare1effective August 1, 2019, to implement a Clinical Validation of Records (CVR) process.

If you have any questions about the NIA Program, please contact your dedicated NIA Provider Relations Manager, Lori Fink

Update on COVID-19


Radiology Benefit Management

Documents

Cardiac Expansion

Capital Blue Cross Cardiac Expansion Recording  

Radiation Oncology Management Educational

Documents

Radiation Oncology Checklists

NIA Radiation Oncology Coding Standards - Effective 1/1/2022

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.

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.