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

Health Plans

Capital Blue Cross

Welcome to the Capital Blue Cross Health Plan Health Plan page. Here you can download policies and procedures specific to both ordering and rendering providers. These include quick reference guides and information designed to assist you in using RadMD to request and check the status of prior authorizations.

If you have any questions about our programs, please contact your dedicated NIA Provider Relations Manager, Lori Fink.

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 Healthcareeffective August 1, 2019, to implement a Clinical Validation of Records (CVR) process.

Advanced Imaging Program

Cardiac Expansion

Radiation Oncology Management Educational Documents

Radiation Oncology Checklists

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

Conservative Treatment Forms

For access to our conservative treatment forms, click here.

RadMD Documents

RadMD is a user-friendly, real-time tool offered by Magellan Healthcare that provides ordering and rendering providers with instant access to prior authorization requests for specialty procedures. Whether submitting exam requests or checking the status of prior authorization requests, providers will find RadMD to be an efficient, easy-to-navigate resource.

Search for resources by program:

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.

Update on COVID-19

Click here to view our recommendations on the use of CT to detect Coronavirus (COVID-19).