Radiology

In collaboration with clinical societies and practice groups, we are seeking to improve the quality, safety and appropriate utilization of imaging services.

The Radiology program features two elements:

  • Imaging Accreditation
  • Radiology Notification/Prior Authorization is required for the following defined set of outpatient imaging procedures: CT scans, MRIs, MRAs, PET scans and Nuclear Medicine studies, including Nuclear Cardiology. Radiology Notification/Prior Authorization is not required for procedures rendered in an emergency room, observation unit, urgent care center or during an inpatient stay.
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Radiology Notification Prior Authorization Protocols

Please see the program specific information available by the links below.

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Imaging Accreditation

Accreditation programs have emerged as key initiatives to advance the quality and safety of imaging studies.  It is important that consumers receive services from facilities whose equipment, technologists and physicians comply with established standards.

Imaging Accreditation
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Radiology Notification & Prior Authorization

The Radiology Notification & Authorization Programs were designed with the help of external expert physician advisory groups to promote appropriate and rational use of imaging services.

Medicare Advantage Radiology Prior Authorization Program
Neighborhood Health Partnership Radiology Pre-Certification Program
Radiology Notification/Prior Authorization
UnitedHealthcare Community Plan Radiology Prior Authorization Program
UnitedHealthcare River Valley Radiology Prior Authorization Program