Evolent Specialty Services
Independent Health has teamed up with Evolent Specialty Services to administer radiology pre-authorization for advanced radiology.
Ordering physicians are required to request the pre-authorization and approval through RadMD.com.
Contact our Provider Relations Department at (716) 631-3282 or 1-800-736-5771, Monday through Friday from 8 a.m. to 6 p.m. to verify if these programs are applicable for a particular member’s plan.
Advanced Radiology
This program is a radiology and imaging benefit management program for non-emergent, advanced, outpatient radiology services designed to ensure clinically appropriate care. Advanced Radiology includes:
- Computed Tomography (CT)
- Magnetic Resonance Angiogram (MRA)
- Magnetic Resonance Imaging (MRI)
- Positron Emission Tomography (non-cardiac PET)
View and download this helpful Quick Reference Guide on requesting pre-authorization for Advanced Radiology Services.
RadMD.com
RadMD.com may be utilized to request authorization for the three programs indicated above or by calling Evolent Specialty Services at
1-800-642-7452. If you aren’t a registered user of RadMD.com, contact RadMD.com at 1-877-80-RadMD.
If you are already registered, remember that RadMD.com gives you access to a number of supporting tools, such as clinical guidelines and code matrices. To access these documents, simply:
- Log in to RadMD.com.
- Under “Menu Options,” click on “Health Plan Specific Educational Docs.” Click on “Independent Health.”