Independent Health

Welcome to the Independent Health page. The documents below have been designed to help RadMD users navigate the prior authorization process for each program Evolent is responsible for managing. 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 [email protected]
Advanced and Cardiac Imaging Program
- Cardiac Imaging Frequently Asked Questions
- Provider Education Presentation
- Utilization Review Matrix - 2025
- Utilization Review Matrix - Self Funded - 2025
- Utilization Review Matrix - 2026
- Utilization Review Matrix - Self Funded - 2026
For access to our Advanced Imaging tip sheets/checklists, click here.
For access to our Cardiac tip sheets/checklists, click here.
Interventional Cardiovascular Program
For Interventional Cardiology, when asked for site of service, enter the name of the surgeon or provider who will be performing the procedure rather than the facility where care will be provided.
- Grace Period Process for Same-Day Service Changes
- Scope of Service
- Utilization Review Matrix - Commercial - 2025
- Utilization Review Matrix - Medicare - 2025
- Utilization Review Matrix - Commercial - 2026
- Utilization Review Matrix - Medicare - 2026
Peer-to-Peer Process
For access to our peer-to-peer process, click here.
Conservative Treatment Forms
For access to our conservative treatment forms, click here.
Clinical Guidelines
- Clinical Guidelines
- Refer to the Utilization Review Matrix document to view specific codes managed by Evolent.

