Fidelis Care (New York)
Welcome to the Fidelis Care (New York) page. The documents below have been designed to help RadMD users navigate the prior authorization process for each program Evolent (formerly National Imaging Associates, Inc.) is responsible for. Additional process-specific training tools and modules can be found via links on the Resources tab at the top of the screen.
If you have any questions about our programs, please contact your dedicated Evolent Provider Relations Manager, Seth Cohen.
Advanced Imaging Program
- Frequently Asked Questions
- Peer-to-Peer Process
- Provider Education Presentation
- Quick Reference Guide
- Utilization Review Matrix
For access to our Advanced Imaging tip sheets/checklists, click here.
Cardiac Program
For access to our Cardiac tip sheets/checklists, click here.
Musculoskeletal Program
- Frequently Asked Questions
- Provider Education Presentation
- Quick Reference Guide
- Utilization Review Matrix (Hip, Knee, Shoulder)
- Utilization Review Matrix (Spine)
For access to our Musculoskeletal tip sheets/checklists, click here.
Physical Medicine Program
- Authorizations for Beginning and End of Year Benefit
- Frequently Asked Questions
- Provider Education Presentation
- Quick Reference Guide
For access to our Physical Medicine tip sheets/checklists/guidelines, click here.
Radiation Oncology Program
- Frequently Asked Questions
- Provider Education Presentation
- Quick Reference Guide
- Radiation Oncology Transition of Care Form
- Utilization Review Matrix
For access to our Radiation Oncology checklists/clinical guidelines/coding standards, click here.
Conservative Treatment Forms
For access to our conservative treatment forms, click here.
Low Dose Chest CT History Form
Clinical Guidelines
- Clinical Guidelines
- Physical Medicine Guidelines
- Refer to the Utilization Review Matrix document to view specific codes managed by Evolent.