Virginia Premier Health Plan
Welcome to the Virginia Premier Health Plan page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and 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, Lori Fink.
Update on COVID-19
Documents
- Virginia Premier Health Plan Utilization Review Matrix-2021
- Virginia Premier Health Plan Frequently Asked Questions
- Virginia Premier Health Plan Pediatric Imaging Spine MRI and Spine CT Test Request Tip Sheet
- Virginia Premier Health Plan Provider Training Program
- Virginia Premier Health Plan Quick Reference Guide for Ordering Providers
- Virginia Premier Health Plan Quick Reference Guide for Rendering Providers
- Virginia Premier Health Plan Test Request Tip Sheet
- Virginia Premier Health Plan Prior Authorization Checklist
- Peer-to-Peer Process
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:
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.