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

Health Plans

Highmark Blue Shield of Northeastern New York

Welcome to the Highmark Blue Shield of Northeastern New York page. Here you can download clinical guidelines, policies and procedures specific to both ordering providers and radiation oncology facilities. These include quick reference guides and FAQs. You can also view information designed to assist you in using the RadMD Website to obtain and check authorizations.

If you have any questions about the NIA Program, please contact your dedicated NIA Provider Relations Manager, Charmaine Everett.

Update on COVID-19

Radiation Oncology Benefits Management

Effective November 1, 2019, Radiation Treatment preauthorization requests for all types of cancer and conditions should be submitted through Magellan Healthcare for Highmark Blue Shield of Northeastern New York Commercial and Medicare Advantage membership.

Treatment Plan Checklists

CPT4 Codes and Covered Procedures

Program and Provider Education

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:

Radiology Benefits Management 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.