Health Net of California
Welcome to the Health Net of California and CalViva Health 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, Sarai Mansanarez.
Advanced Imaging and Cardiac Programs
- Cardiac Frequently Asked Questions
- Frequently Asked Questions
- Peer-to-Peer Process
- Provider Education Presentation
- Quick Reference Guide
- Utilization Review Matrix - Commercial
- Utilization Review Matrix - Exchange
- Utilization Review Matrix - MediCal
For access to our Advanced Imaging tip sheets/checklists, click here.
For access to our Cardiac tip sheets/checklists, click here.
CalViva Health - Advanced Imaging and Cardiac Programs
- Cardiac Frequently Asked Questions
- Frequently Asked Questions
- Peer to Peer Process
- Provider Education Presentation
- Quick Reference Guide
For access to our Advanced Imaging tip sheets/checklists, click here.
For access to our Cardiac tip sheets/checklists, click here.
Community Health Plan of Imperial Valley - Advanced Imaging and Cardiac Programs
- Cardiac Frequently Asked Questions
- Frequently Asked Questions
- Provider Education Presentation
- Quick Reference Guide
For access to our Advanced Imaging tip sheets/checklists, click here.
For access to our Cardiac tip sheets/checklists, click here.
Conservative Treatment Forms
For access to our conservative treatment forms, click here.
Low Dose Chest CT History Form
Clinical Guidelines
- Clinical Guidelines
- Refer to the Utilization Review Matrix document to view specific codes managed by Evolent.